Castellon, Mauricio Jose
Castellon, Mauricio Jose is an sole proprietor health care provider with primary practice located at 1499 S Harbor City Blvd Ste 301, Melbourne FL 32901. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Castellon, Mauricio Jose can be contacted via phone (321) 729-9909.Contact Information
Primary practice address
1499 S Harbor City Blvd Ste 301
Melbourne FL 32901
Phone: (321) 729-9909
Fax: (321) 728-0288
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | ME81968 | Florida |
Profile Details
| NPI number | 1881658144 |
|---|---|
| LBN Legal business name | Castellon, Mauricio Jose |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Apr 1st, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881658144 | NPPES |
| Florida | Other | 51232 | BLUE CROSS BLUE SHIELD |
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