Organization
ALLERGY & ASTHMA CARE CENTRE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAZARO LUIS CASTILLO MD (PRESIDENT OWNER)
(239) 549-1398
Entity
Organization
Contact information
Practice address
8461 CYPRESS LAKE DRIVE, FORT MYERS, FL 33919-5187
(239) 489-1398
(239) 482-7881
Mailing address
4017 DEL PRADO BLVD S, CAPE CORAL, FL 33904-7160
(239) 549-1398
(239) 542-7881
Taxonomy
Speciality
Code
Description
License number
State
207KI0005X
Clinical & Laboratory Immunology (Allergy & Immunology) Physician
Primary
ME74018
FL
Other
Enumeration date
01/25/2007
Last updated
01/03/2008
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