Individual
DR. CASTRO JEAN MANIS BONNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16555 NW 25TH AVE, MIAMI GARDENS, FL 33054-6583
(786) 466-1500
Mailing address
16555 NW 25TH AVE, MIAMI GARDENS, FL 33054-6583
(786) 466-1500
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME150937
FL
Other
Enumeration date
03/18/2019
Last updated
08/05/2022
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