Organization
GIANNIE CASTELLANOS OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNIE MARIE CASTELLANOS (OWNER)
(786) 251-5834
Entity
Organization
Contact information
Practice address
12002 SW 128TH CT STE 102, MIAMI, FL 33186-4641
(305) 662-2990
Mailing address
8060 NW 155TH ST STE 201, MIAMI LAKES, FL 33016-5883
(786) 251-5834
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001425700
—
FL
Enumeration date
01/24/2022
Last updated
03/20/2024
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