Provider Demographics
NPI:1265025779
Name:PLUS ONE MEDICAL LLC
Entity Type:Organization
Organization Name:PLUS ONE MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-703-3468
Mailing Address - Street 1:100 E MCNAB RD STE A
Mailing Address - Street 2:
Mailing Address - City:POMPANO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33060-9240
Mailing Address - Country:US
Mailing Address - Phone:561-703-3468
Mailing Address - Fax:954-351-9194
Practice Address - Street 1:100 E MCNAB RD STE B
Practice Address - Street 2:
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33060-9240
Practice Address - Country:US
Practice Address - Phone:561-703-3468
Practice Address - Fax:954-351-9194
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty