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NPI Code Detail

MEDICARE: MR. GERMAN CASTRO M.D.

MEDICARE: MR. GERMAN CASTRO M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianME0037086FL

General Provider Information

NPI Number : 1134186794
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. GERMAN CASTRO M.D.
Provider Business Mailing Address
First Line : 1091 PORT MALABAR BLVD NE SUITE-1
Second Line :
City : PALM BAY
State : FL
Zip : 32905
Country : US
Telephone Number : 321-728-7222
Fax Number : 321-728-8823
Provider Business Practice Location Address
First Line : 1091 PORT MALABAR BLVD NE SUITE-1
Second Line :
City : PALM BAY
State : FL
Zip : 32905-5100
Country : US
Telephone Number : 321-728-7222
Fax Number : 321-728-8823
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2006
Last Update Date : 02/24/2015

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