Doctor Name: | JORGE G CASTILLO |
NPI Number: | 1477688265 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME0066247 |
Business Practice Address: | 501 Se Osceola St Suite 100 Stuart, FL - 349942301 |
Business Phone Number: | 7722885890 |
Business Fax Number: | 7722885840 |
Mailing Address: | Po Box 417, STUART |
State: | FL |
Postal Code: | 349950417 |
Phone Number: | 7722235665 |
Fax Number: | 7722235646 |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/22/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | ME0066247 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |