Provider Demographics
NPI:1770255663
Name:CASTRO, ZAMIRA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ZAMIRA
Middle Name:
Last Name:CASTRO
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14545 S. MILITARY TRAIL STE J
Mailing Address - Street 2:#316
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33484-3781
Mailing Address - Country:US
Mailing Address - Phone:347-391-7963
Mailing Address - Fax:
Practice Address - Street 1:5134 VAN BUREN RD
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33484-4286
Practice Address - Country:US
Practice Address - Phone:347-391-7963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY10884103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty