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NPI Code Detail

MEDICARE: AMELIA CASTILLO

MEDICARE: AMELIA CASTILLO
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
1183500000XPharmacistPS42940FL

General Provider Information

NPI Number : 1194062265
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMELIA CASTILLO
Provider Business Mailing Address
First Line : 2202 JIM REDMAN PKWY
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-7107
Country : US
Telephone Number : 813-659-1040
Fax Number :
Provider Business Practice Location Address
First Line : 2202 JIM REDMAN PKWY
Second Line :
City : PLANT CITY
State : FL
Zip : 33563-7107
Country : US
Telephone Number : 813-659-1040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2013
Last Update Date : 01/09/2013

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Directions to “ AMELIA CASTILLO ” Practice Location

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