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Jorge Enrique Castillo Molina
General Practice Physician in Tampa, Florida
NPI 1306474010

Jorge Enrique Castillo Molina is a General Practice Physician based in Tampa, FL. Jorge Enrique Castillo Molina practices in Tampa, FL. The NPI Number for Jorge Enrique Castillo Molina is 1306474010 and holds a License No. 15137-I (Florida).

The current practice location address for Jorge Enrique Castillo Molina is 7555 W Waters Ave, Tampa, FL and can be reached out via phone at 855-226-6633.

Location: 7555 W Waters Ave, Tampa, FL, 33615-1511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306474010
Provider Name
Jorge Enrique Castillo Molina
Credential
Provider Entity Type
Individual
Gender
Male
Address
7555 W Waters Ave, Tampa, FL, 33615-1511
Phone Number
855-226-6633
Fax Number
Provider Enumeration Date
03/29/2020
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7555 W Waters Ave
City
Tampa
State
Florida
Zip
33615-1511
Phone Number
855-226-6633
Fax Number
person
Provider Business Mailing Address Details
Address
7555 W Waters Ave
City
Tampa
State
Florida
Zip
33615-1511
Phone Number
855-226-6633
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
208D00000X
License No.
ACN1281 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
15137-I ()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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