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NPI Code Detail

MEDICARE: MYLADIS CASTRO

MEDICARE:   MYLADIS  CASTRO
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
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1326843723
Entity Type Code : Individual
Provider Name (Legal Business Name) : MYLADIS CASTRO
Provider Business Mailing Address
First Line : 6312 DAWSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-1722
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6312 DAWSON ST
Second Line :
City : HOLLYWOOD
State : FL
Zip : 33023-1722
Country : US
Telephone Number : 305-469-4404
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2025
Last Update Date : 02/18/2025

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Directions to “ MYLADIS CASTRO ” Practice Location

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