Provider Demographics
NPI:1063200160
Name:CASTRO MORROBEL, KEILA
Entity type:Individual
Prefix:
First Name:KEILA
Middle Name:
Last Name:CASTRO MORROBEL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3987 BLOOMFIELD CT
Mailing Address - Street 2:
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-4484
Mailing Address - Country:US
Mailing Address - Phone:904-893-1311
Mailing Address - Fax:
Practice Address - Street 1:3987 BLOOMFIELD CT
Practice Address - Street 2:
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-4484
Practice Address - Country:US
Practice Address - Phone:904-893-1311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program