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Dr. Ivan Dario Castano, M.D

Family Medicine in Hialeah, FL. Individual provider (NPI-1).

NPI number1649299652
StatusActive
Last updated in NPPESFeb 20, 2013

Details

NPI
1649299652
Entity type
Individual (NPI-1)
Name
Dr. Ivan Dario Castano
Credential
M.D
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 19, 2006
Last updated
Feb 20, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineME0041641FLYes

Practice location

4204 W 12th Ave
Hialeah, FL 33012-4158

Phone 305-556-3818 · Fax 305-557-7675

Mailing address

4204 W 12th Ave
Hialeah, FL 33012-4158

Phone 305-556-3818 · Fax 305-557-7675

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