Individual
JESUS E CASTILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5725 NW 186TH ST, HIALEAH, FL 33015-6019
(786) 223-4024
Mailing address
1230 NW 188TH ST, MIAMI GARDENS, FL 33169-3412
(786) 223-4024
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA20304
FL
Other
Enumeration date
08/22/2018
Last updated
08/22/2018
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