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Organization

AESTHETIC FACIAL PLASTIC SURGERY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DOMINIC M CASTELLANO M.D. (PHYSICIAN)
(813) 879-6207
Entity
Organization

Contact information

Practice address
306 S MACDILL AVE, TAMPA, FL 33609-3142
(813) 879-6207
(813) 875-9256
Mailing address
306 S MACDILL AVE, TAMPA, FL 33609-3142
(813) 879-6207
(813) 875-9256

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME101498
FL

Other

Enumeration date
08/21/2008
Last updated
08/21/2008
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