Castellon, Carlos H

Castellon, Carlos H is an sole proprietor health care provider with primary practice located at 152 Nw Otter Ct , Lake City FL 32055-7252. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Castellon, Carlos H can be contacted via phone (386) 752-4199.

Contact Information

Primary practice address
152 Nw Otter Ct Lake City FL 32055-7252
Phone: (386) 752-4199
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME46096 Florida

Profile Details

NPI number 1467471201
LBN Legal business name Castellon, Carlos H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated May 14th, 2008 - about 16 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 1467471201 NPPES
Florida MEDICAID 43074900
Florida MEDICAID 0430749-00
Florida Other 12072N

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