Casta, Mayra M.

Casta, Mayra M. is an individual health care provider with primary practice located at 4700 N Habana Ave Ste 101 , Tampa FL 33614-7116. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Casta, Mayra M. can be contacted via phone (813) 444-9599.

Contact Information

Primary practice address
4700 N Habana Ave Ste 101 Tampa FL 33614-7116
Phone: (813) 444-9599
Fax: (813) 513-8510
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X ACN896 Florida
Allopathic & Osteopathic Physicians / General Practice 208D00000X 14334 Puerto Rico

Profile Details

NPI number 1821046285
LBN Legal business name Casta, Mayra M.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Mar 23rd, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821046285 NPPES
Other 1508132 WELLCARE
Other P01814157 WELLCARE
Other P1051219 WELLCARE
Other P983472 WELLCARE
Other U1N7R WELLCARE
Other 1145745 WELLCARE

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