Mountcastle, Daniel J

Mountcastle, Daniel J is an sole proprietor health care provider with primary practice located at 5901 Sun Blvd Suite 113-A, St Petersburg FL 33715-1166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Phlebology, which is considered as his primary health care specialty. Mountcastle, Daniel J can be contacted via phone (727) 865-6941.

Contact Information

Primary practice address
5901 Sun Blvd Suite 113-A St Petersburg FL 33715-1166
Phone: (727) 865-6941
Fax: (727) 867-2639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Phlebology 202K00000X ME36289 Florida

Profile Details

NPI number 1972695880
LBN Legal business name Mountcastle, Daniel J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 28th, 2006
Last updated Nov 13th, 2014 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972695880 NPPES
Florida Other ME36289 MEDICAL LICENSE NUMBER
Florida MEDICAID 039342800 MEDICAL LICENSE NUMBER

Popular Providers