| NPI | 1104525443 |
|---|---|
| Former Legal Business Name | SAMIR CASTELLON |
| Entity Type | Organization |
| Authorized Contact | SAMIR ALEXANDER CASTELLON CASTELLON Owner/CEO 305-522-7217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2023-03-15 |