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Individual

EDISON RAFAEL CASTRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
3801 S KANNER HWY, STUART, FL 34994-4801
(772) 223-4999
Mailing address
3801 S KANNER HWY, STUART, FL 34994-4801
(772) 223-4999

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS17450
FL
207QA0505X
Adult Medicine Physician
OS17450
FL

Other

Enumeration date
08/17/2018
Last updated
04/25/2023
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