Allen R Castello MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

ME56679 Issued in FL

Legal business name

ALLEN R CASTELLO MD LLC

Practice address

1173 Blackwood Ave
Ocoee, FL 34761-4518

Phone

(407) 877-4458

Fax

(407) 877-4494

NPI assigned

Jan 29, 2009

Last updated

Jan 29, 2009By 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

Ms. Tracy B Kiah Peck

Title

Billing Manager

Phone

(407) 877-4458

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233187200000",
    "number": "1326286345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1173 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614518",
            "telephone_number": "407-877-4458",
            "fax_number": "407-877-4494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1173 BLACKWOOD AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614518",
            "telephone_number": "407-877-4458",
            "fax_number": "407-877-4494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLEN R CASTELLO MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-01-29",
        "status": "A",
        "authorized_official_last_name": "KIAH PECK",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "407-877-4458",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME56679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "10227",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Wildens Alliance
• Kenneth A Allwood, MD
• Zalynda Nikole Alvarez
• Amazin Handz's Homemaker Companion Inc

• Specialist in Ocoee, FL
• Providers in Ocoee, FL by specialty
• Specialist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.