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 |