Individual
DR. GINO ANTONIO SANTOS CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1205 N CENTRAL AVE, KISSIMMEE, FL 34741-4407
(407) 601-4996
Mailing address
1205 N CENTRAL AVE, KISSIMMEE, FL 34741-4407
(407) 601-4996
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
01085444A
IN
2086S0129X
Vascular Surgery Physician
Primary
ME143589
FL
Other
Enumeration date
09/14/2007
Last updated
05/20/2021
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