Organization Active NPI

Jose Castillo MD PA

  • Non-Surgical Family Planning Clinic/Center
  • Eustis, FL
National Provider Identifier
1396910642
Registry record updated Dec 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Surgical Family Planning Clinic/CenterTaxonomy code 261QF0050X
License
ME0029503 Issued in FL
Legal business name
JOSE CASTILLO MD PA
Practice address
2200 S Bay St
Suite D
Eustis, FL 32726-6314
Phone
(352) 483-2088
NPI assigned
Apr 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Dr. Jose Castillo, MD
Title
Owner
Phone
(352) 483-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X ME0029503 FL Primary

Addresses

Primary practice location

2200 S Bay St
Suite D
Eustis, FL 32726-6314

Mailing address

2200 S Bay St
Suite D
Eustis, FL 32726-6314
Phone (352) 483-2088

National Provider Directory

National Provider Directory

Locations

2200 S Bay St
Ste D
Eustis, FL 32726
Phone (352) 483-2088

2200 S Bay St
Eustis, FL 32726
Phone (352) 483-2058

NPI Registry JSON

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

{
    "created_epoch": "1209340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1396910642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S BAY ST",
            "address_2": "SUITE D",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266314",
            "telephone_number": "352-483-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S BAY ST",
            "address_2": "SUITE D",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327266314",
            "telephone_number": "352-483-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE CASTILLO MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-28",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-483-2088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "FL",
            "license": "ME0029503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eustis, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; 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.