Individual
DR. MAURICIO JOSE CASTELLON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1499 S HARBOR CITY BLVD, STE 301, MELBOURNE, FL 32901
(321) 729-9909
(321) 728-0288
Mailing address
1499 S HARBOR CITY BLVD, STE 301, MELBOURNE, FL 32901
(321) 729-9909
(321) 728-0288
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
ME81968
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51232
BLUE CROSS BLUE SHIELD
FL
Enumeration date
04/13/2006
Last updated
04/01/2019
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