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NPI Code Detail

MEDICARE: MR. MAX ANTHONY CASTRO OPTICIAN

MEDICARE:  MR. MAX ANTHONY CASTRO  OPTICIAN
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
1156FX1800XOptician891FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659472587
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MAX ANTHONY CASTRO OPTICIAN
Provider Business Mailing Address
First Line : 4602 N ARMENIA A-1
Second Line :
City : TAMPA
State : FL
Zip : 33603-2625
Country : US
Telephone Number : 813-875-5480
Fax Number : 813-875-5480
Provider Business Practice Location Address
First Line : 4602 N ARMENIA
Second Line : SUITE A-1
City : TAMPA
State : FL
Zip : 33603-2625
Country : US
Telephone Number : 813-875-5480
Fax Number : 813-875-5480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/25/2006
Last Update Date : 10/27/2011

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Directions to “ MR. MAX ANTHONY CASTRO OPTICIAN” Practice Location

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