| Mildred Alexandra Castro, PA-C | |
|
15689 Southern Blvd Unit 101, Loxahatchee Groves, FL 33470-9229 | |
| (561) 614-1116 | |
| Not Available |
| Full Name | Mildred Alexandra Castro |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 15689 Southern Blvd Unit 101, Loxahatchee Groves, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902300676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA9111143 (Florida) | Primary |
| Entity Name | Jupiter Medical Center Physicians Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396992475 PECOS PAC ID: 4284797069 Enrollment ID: O20090106000637 |
| Entity Name | Elite Medical Services at Lakeside LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992216568 PECOS PAC ID: 8921361882 Enrollment ID: O20180406001651 |
| Mailing Address | Practice Location Address |
|---|---|
| Mildred Alexandra Castro, PA-C 15689 Southern Blvd Unit 101, Loxahatchee Groves, FL 33470-9229 Ph: (561) 614-1116 | Mildred Alexandra Castro, PA-C 15689 Southern Blvd Unit 101, Loxahatchee Groves, FL 33470-9229 Ph: (561) 614-1116 |
Yuliya Kutafina, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 15689 Southern Blvd Unit 101, Loxahatchee Groves, FL 33470 Phone: 561-614-1116 |