Living the Dream 63 LLC

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

LIVING THE DREAM 63 LLC

Practice address

3182 Dunbar LN
Tallahassee, FL 32311-3362

Phone

(850) 264-5998

Fax

(850) 329-2195

NPI assigned

Apr 20, 2021

Last updated

Apr 20, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Castillo, MDNPI 1114286267

Title

Owner/Manager

Phone

(850) 264-5998

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Castillo, M.D.

  • Hospitalist Physician
  • Tallahassee, FL
  • NPI 1114286267
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1618876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1174104277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3182 DUNBAR LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113362",
            "telephone_number": "850-264-5998",
            "fax_number": "850-329-2195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3182 DUNBAR LN",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323113362",
            "telephone_number": "850-264-5998",
            "fax_number": "850-329-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING THE DREAM 63 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-20",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "850-264-5998",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozetta Marie Littles
• Jonathan CHI-Wah Liu, MD
• Rhonda Liu
• Living Free Counseling, LLC
• Living Stones International, Inc.
• Kerria Livingston
• Quneisha Livingston, MSW, RCSWI
• Dominick John Livoti III
• Livwell Homecare LLC
• Ernesto Llerena, DMD

• Adult Medicine Physician in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Adult Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.