DEMETRIO CASTILLO (NPI# 1114199056) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114199056 |
| Entity Type | Individual |
| Full Name | DEMETRIO CASTILLO |
| Credential | MD |
| Practice Address |
1150 N 35th Ave Ste 605 Hollywood FL 33021-5431 |
| Mailing Address |
2900 Corporate Way Door D Miramar FL 33025-3925 |
| Practice Telephone | 9542657900 |
| Practice Fax Number | 9542760290 |
| Mailing Telephone | 9542765685 |
| Mailing Fax Number | 9549857074 |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2020-05-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
ME132699 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 021515200 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 603 N Flamingo Rd Ste 255, Pembroke Pines, FL 330281013 | 9542657900 | 9542760290 |
| 3702 Washington St Ste 403, Hollywood, FL 330218284 | 9542657900 | 9545185533 |
| Street Address |
1150 N 35TH AVE STE 605 |
| City | HOLLYWOOD |
| State | FL |
| Zip Code | 33021-5431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154385789 | Jonathan S Roberts | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021 | 2006-04-12 |
| 1821461120 | Tamara Tricia Dixon | Nurse Practitioner | 1150 N 35th Ave Ste 605, Hollywood, FL 33021-5431 | 2015-11-09 |
| 1487057519 | South Broward Hospital District | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021-5431 | 2014-10-03 |
| 1326479585 | South Broward Hospital District | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021 | 2013-12-12 |
| 1447698485 | Pratik Ashvin Patel | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021-5431 | 2013-06-12 |
| 1114218138 | Ruchi Patel | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021-5431 | 2011-04-25 |
| 1780973644 | Eli Meyer Friedman | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021-5431 | 2011-03-31 |
| 1578877304 | Sunay Shah | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021 | 2010-08-04 |
| 1497980478 | Vamsi Mohan Pavuluri | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021 | 2009-05-20 |
| 1013118405 | Juan Carlos Brenes | Internal Medicine | 1150 N 35th Ave Ste 605, Hollywood, FL 33021-5431 | 2007-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548893894 | Seminole Tribe of Florida Health Department | Pharmacy | 111 W. Coral Way, Hollywood, FL 33021 | 2020-02-14 |
| 1437714086 | Emilia Roxana Gucciardo | Physician Assistant | 4510 Sheridan Street, Attn: William Pepe, Hollywood, FL 33021 | 2019-05-08 |
| 1649763673 | Sabrina Shoba Mathura | Behavior Technician | 4400 Madison St, Hollywood, FL 33021 | 2018-06-13 |
| 1558850149 | South Broward Hospital District | Pediatrics | 105 Joe Dimaggio Dr, Pediatric Heart Station, Hollywood, FL 33021 | 2018-05-09 |
| 1942798368 | Kyndra Monique Liburd | Student in an Organized Health Care Education/Training Program | Attn: Pediatric Residency Program, 1005 Joe Dimaggio Drive, Hollywood, FL 33021 | 2018-05-01 |
| 1992292106 | Madeleine Mariela Reyes | Nurse Practitioner | 5010 Hollywood Boulevard #100-b, Hollywood, FL 33021 | 2018-04-13 |
| 1487168233 | Gynecologic Oncology & Urogynecology | Obstetrics & Gynecology | 1150 N 35th Ave Ste 670, Hollywood, FL 33021 | 2017-11-30 |
| 1245743012 | Healix Healthcare Services, LLC | Obstetrics & Gynecology | 3990 Sheridan St Ste 207, Hollywood, FL 33021 | 2017-11-14 |
| 1093233587 | Benjamin Laborde | Physical Therapy Assistant | 4200 Washington Street, Hollywood, FL 33021 | 2017-09-05 |
| 1477079358 | Tt Trans, LLC | Non-emergency Medical Transport (VAN) | 3550 Washington Street, 502, Hollywood, FL 33021 | 2017-08-22 |
| Find all providers in zip 33021 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104229236 | South Broward Hospital District | Internal Medicine | 1150 N 35th Ave, Suite 605, Hollywood, FL 33021-5424 | 2014-10-03 |
| 1811156128 | Daniel Alberto Benhayon Lanes | Internal Medicine | 1150 N 35th Ave, Suite 605, Hollywood, FL 33021 | 2008-06-03 |
| 1255385670 | Integrated Care LLC | Internal Medicine | 1150 N 35th Ave, Suite 605, Hollywood, FL 33021-5424 | 2006-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356957336 | Charlotte Arrhythmia Center Pllc | Internal Medicine | 3400 Tamiami Trl Bldg 2, Port Charlotte, FL 33952-8102 | 2020-09-16 |
| 1396365623 | Tallahassee Memorial Healthcare Inc | Internal Medicine | 2100 Centerville Rd, Tallahassee, FL 32308-4379 | 2020-04-16 |
| 1780150524 | Winter Haven Hospital Inc | Internal Medicine | 200 Avenue F Ne Fl 2, Winter Haven, FL 33881-4131 | 2018-10-19 |
| 1154897130 | Sujata S. Balulad, Md., Pa | Internal Medicine | 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 | 2018-10-17 |
| 1629511035 | Ibrahim Heart Clinic Pllc | Internal Medicine | 13842 Harbor Creek Pl, Jacksonville, FL 32224-6895 | 2016-12-02 |
| 1710385240 | Heart Rhythm Center of South Florida Pa | Internal Medicine | 7000 Sw 97th Ave., Suite 102, Miami, FL 33173-1474 | 2014-12-16 |
| 1306262712 | Ian Parker | Internal Medicine | 6720 Crews Wood Ln, Lakeland, FL 33813-3955 | 2014-03-10 |
| 1578987855 | Integrated Care,llc | Internal Medicine | 603 North Flamingo Road, Suite 255, Pembroke Pines, FL 33028-1013 | 2014-02-07 |
| 1861768061 | Zubin Agarwal | Internal Medicine | 1600 Sw Archer Rd # 5, Gainesville, FL 32610-1473 | 2012-04-02 |
| 1427340355 | Asim S Ahmed | Internal Medicine | 7720 Us Highway 98 W Ste 110, Miramar Beach, FL 32550 | 2011-05-11 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.