Provider Demographics
NPI:1700046695
Name:FERNANDEZ DE CASTRO, LUIS EDUARDO (MD)
Entity Type:Individual
Prefix:DR
First Name:LUIS
Middle Name:EDUARDO
Last Name:FERNANDEZ DE CASTRO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:850 S PINE ISLAND RD
Mailing Address - Street 2:SUITE A100
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3118
Mailing Address - Country:US
Mailing Address - Phone:954-741-5555
Mailing Address - Fax:954-572-9658
Practice Address - Street 1:850 S PINE ISLAND RD
Practice Address - Street 2:SUITE A100
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3118
Practice Address - Country:US
Practice Address - Phone:954-741-5555
Practice Address - Fax:954-572-9658
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2021-03-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME116570207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology