Individual
CARLOS ALBERTO CASTILLO PLASENCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA-C
Contact information
Practice address
6336 SW 12TH ST, WEST MIAMI, FL 33144-5618
(786) 444-4052
Mailing address
6336 SW 12TH ST, WEST MIAMI, FL 33144-5618
(786) 444-4052
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-222
FL
Other
Enumeration date
04/19/2017
Last updated
04/19/2017
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