Individual provider · NPI-1

Max Anthony Castro, Optician

Technician/Technologist, Optician · Tampa, FL

NPI number1659472587
StatusActive
Last updated in NPPESOct 27, 2011

Details

NPI
1659472587
Entity type
Individual (NPI-1)
Name
Mr. Max Anthony Castro
Credential
Optician
Sex
Male
Sole proprietor
No
Enumeration date
Sep 25, 2006
Last updated
Oct 27, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
156FX1800X Technician/Technologist, Optician891FLYes

Practice location

4602 N Armenia
Suite A-1
Tampa, FL 33603-2625

Phone 813-875-5480 · Fax 813-875-5480

Mailing address

4602 N Armenia A-1
Tampa, FL 33603-2625

Phone 813-875-5480 · Fax 813-875-5480

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