Organization
CASTILLO'S MD SERVICES, LLC
Active
Other names
Edgardo Castillo Internal Medicine- ECIM
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JESSIE CEPEDA RMA (OFFICE MANAGER)
(239) 240-3005
Entity
Organization
Contact information
Practice address
1530 LEE BLVD, SUITTE 1600, LEHIGH ACRES, FL 33936-4893
(239) 369-2749
(239) 369-9158
Mailing address
13500 TROIA DR, ESTERO, FL 33928-7304
(239) 369-2749
(239) 369-9158
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1910600
—
FL
01
—
CX526Z
MEDICARE
FL
Enumeration date
05/18/2016
Last updated
05/23/2016
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