Doctor Name: | MR. HARRY CASTRO |
NPI Number: | 1285844506 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | ARNP |
License Number: | ARNP1460552 |
Business Practice Address: | 2901 Overseas Hwy Marathon, FL - 330502235 |
Business Phone Number: | 3052898915 |
Business Fax Number: | 3052898920 |
Mailing Address: | 2901 Overseas Hwy, MARATHON |
State: | FL |
Postal Code: | 330502235 |
Phone Number: | 3052898915 |
Fax Number: | 3052898920 |
NPI Enumeration Date: | 05/23/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | ARNP1460552 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |