Provider Demographics
NPI:1790957660
Name:CASTRO ALLEN, ELIZABETH (LMT DOULA CIMI)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:CASTRO ALLEN
Suffix:
Gender:F
Credentials:LMT DOULA CIMI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2500 SW 81ST AVE APT 204
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5787
Mailing Address - Country:US
Mailing Address - Phone:754-422-6387
Mailing Address - Fax:
Practice Address - Street 1:2500 SW 81ST AVE APT 204
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33324-5787
Practice Address - Country:US
Practice Address - Phone:754-422-6387
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2008-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA41590174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist