Individual provider · Type 1 NPI
Odalis Castellon, PHYSICIAN ASSISTANT
Surgical Physician Assistant · Hollywood, FL
NPI number
1306120746
Active
Practice location
3449 Johnson Street
Hollywood, FL 33021
Fax (954) 963-8121
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | PA9101779 (FL) |
Surgical Physician Assistant: Definition to come...
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About NPI 1306120746
Odalis Castellon, PHYSICIAN ASSISTANT's National Provider Identifier is 1306120746, issued on Oct 4, 2011. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Hollywood, FL. The record was last updated on Oct 4, 2011.