Doctor Name: | AIDA M CASTO |
NPI Number: | 1205004454 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP1574602 |
Business Practice Address: | 2382 Crawfordville Hwy Suite C Crawfordville, FL - 323271034 |
Business Phone Number: | 8509266363 |
Business Fax Number: | 8509262602 |
Mailing Address: | 2382 Crawfordville Hwy, Suite C CRAWFORDVILLE |
State: | FL |
Postal Code: | 323271034 |
Phone Number: | 8509266363 |
Fax Number: | 8509262602 |
NPI Enumeration Date: | 02/11/2008 |
NPI Last Update Date: | 05/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LW0102X |
License Number: | ARNP1574602 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Women's Health |
Taxonomy Definition: |