Individual
ANTHONY CASTANON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2600 BRUCE B DOWNS BLVD, WESLEY CHAPEL, FL 33544-9207
Mailing address
11705 CARROLLWOOD COVE DR, TAMPA, FL 33624-4534
Taxonomy
Speciality
Code
Description
License number
State
246QM0706X
Medical Technologist
Primary
TN47899
FL
Other
Enumeration date
04/19/2019
Last updated
04/19/2019
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