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Individual

MR. CARLOS M CASTILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
7751 BAYMEADOWS RD E STE 205, JACKSONVILLE, FL 32256
(904) 427-1050
Mailing address
2160 COLONIAL BLVD, FORT MYERS, FL 33907-1410
(239) 931-7342
(239) 931-7385

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
(FLA)ME070579
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1013213
WELLCARE
FL
01
1100410
CAREPLUS
FL
01
1251265
WELLCARE
FL
01
225104
AVMED
FL
05
251900300
FL
01
28281
WELLCARE
FL
01
38097
BCBS
FL
01
5867626
AETNA
FL
01
P0022960
FLORIDA HEALTHCARE PLUS
FL
01
P01383297
RR MEDICARE
FL
01
P10706223
SIMPLY HEALTHCARE
FL
01
PRV0007644
PREFERRED MED-THRU KEYS PHO
FL
Enumeration date
10/05/2005
Last updated
06/28/2018
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