Male or Other

Mr. Lian Castillo Olivera PA

Medical Physician Assistant in Boca Raton, FL(View on Map)

Full Name

Mr. Lian Castillo Olivera PA

NPI Number

1750756755

NPI Type

Individual Provider

Gender

Male

Enumeration Date

12/02/2015

Specialties

(Taxonomies)

Code

363AM0700X
363A00000X

Primary Taxonomy

Yes
No

Licenses

State

Florida

License Number

PA9109264

Contact
Information

Purpose

Mailing
Location

Address

800 MEADOWS RD
800 MEADOWS RD

City

Boca Raton
Boca Raton

State

FL
FL

Postal Code

33486-2304
33486-2304

Country

US
US

Telephone Number

N/A
(561) 395-7100

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 01/20/2021

Provider Address

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