Provider Demographics
NPI:1477703346
Name:STRATEGO M CASTANES MD PA
Entity Type:Organization
Organization Name:STRATEGO M CASTANES MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:STRATEGO
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTANES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-596-6008
Mailing Address - Street 1:8740 SW 88TH ST
Mailing Address - Street 2:STE 218
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33176-2212
Mailing Address - Country:US
Mailing Address - Phone:305-596-6008
Mailing Address - Fax:305-675-7836
Practice Address - Street 1:8740 SW 88TH ST
Practice Address - Street 2:STE 218
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176-2212
Practice Address - Country:US
Practice Address - Phone:305-596-6008
Practice Address - Fax:305-675-7836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME96059261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty