Gregory D Castleman, D.C.

Individual provider Active NPI Rehabilitation Chiropractor · Holiday, FL

NPI 1295946556 · NPPES record last updated Jul 13, 2010

Key facts

NPI
1295946556
Entity type
Individual (NPI type 1)
Primary specialty
Rehabilitation Chiropractor 111NR0400X
License
CH 8060 (FL)
Practice address
2401 Grand Blvd
Holiday, FL 34690-4508
Phone
(727) 934-5757
Fax
(727) 937-6258
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
CH 8060FLMDRehabilitation Chiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Group Incorporated Past
since Jul 26, 2010
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Chiropractor 111NR0400X CH 8060 FL Yes

Addresses

Primary practice location

2401 Grand Blvd
Holiday, FL 34690-4508

Mailing address

2401 Grand Blvd
Holiday, FL 34690-4508
Phone (727) 934-5757

Other providers in Holiday, FL

All providers in Holiday, FL · Rehabilitation Chiropractor in Florida

Sources for this page

Verify at the official NPI Registry.