Provider Demographics
NPI:1568411643
Name:VEJAS CASTILLERO, EDUARDO JOSE JR (MD)
Entity Type:Individual
Prefix:DR
First Name:EDUARDO
Middle Name:JOSE
Last Name:VEJAS CASTILLERO
Suffix:JR
Gender:M
Credentials:MD
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Mailing Address - Street 1:7001 INTERBAY BLVD
Mailing Address - Street 2:APT #308
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33616-1706
Mailing Address - Country:US
Mailing Address - Phone:727-873-3891
Mailing Address - Fax:727-873-3892
Practice Address - Street 1:6245 66TH ST N # M
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33781-5025
Practice Address - Country:US
Practice Address - Phone:727-873-3891
Practice Address - Fax:727-873-3892
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-08
Last Update Date:2021-05-14
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Provider Licenses
StateLicense IDTaxonomies
PR14064207Q00000X
FL577207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine