GUILLERMO CASTELLVI MD PA
Radiology at Countryway Blvd, Tampa, FL

License number
Florida ME44641
Category
Radiology
Type
Surgery
Owner
Name: DR. GUILLERMO O. CASTELLVI MD
Title: OWNER
Phone: (813) 196-9900
Address
Address
11033 Countryway Blvd, Tampa, FL 33626
National Provider ID: 1427421106
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GUILLERMO CASTELLVI, MD, PA

11033 Countryway Blvd, Tampa, FL 33626

Status:
Inactive
Inactive reason:
ARTICLES OF CORRECTION
Registration:
Feb 6, 2015
Inactive since:
Feb 13, 2015
State ID:
P15000012479
Business type:
Florida Profit Corporation
S:
Guillermo Castellvi, 11033 Countryway Blvd, Tampa, FL 33626 (Physical),Isis Castellvi, 11033 Countryway Blvd, Tampa, FL 33626 (Physical)
Agent:
Castellvi, Guillermo,11033 Countryway Blvd, Tampa, FL 33626 (Physical)
FEI/EIN:
NO-NE

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