Individual
DAUVINIA CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16300 SW 96TH AVE, MIAMI, FL 33157-3304
(305) 282-2506
Mailing address
23120 SW 124TH AVE, MIAMI, FL 33170-6310
(305) 282-2506
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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