NPIMap

Organization Active NPI

Allergy & Asthma Care Centre PA

  • Clinical & Laboratory Immunology (Allergy & Immunology) Physician
  • Fort Myers, FL
National Provider Identifier
1780739946
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical & Laboratory Immunology (Allergy & Immunology) PhysicianTaxonomy code 207KI0005X
License
ME74018 Issued in FL
Legal business name
ALLERGY & ASTHMA CARE CENTRE PA
Practice address
8461 Cypress Lake Drive
Fort Myers, FL 33919-5187
Phone
(239) 489-1398
Fax
(239) 482-7881
NPI assigned
Jan 25, 2007
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Lazaro Luis Castillo, MDNPI 1043200470
Title
President Owner
Phone
(239) 549-1398

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical & Laboratory Immunology (Allergy & Immunology) Physician 207KI0005X ME74018 FL Primary

Addresses

Primary practice location

8461 Cypress Lake Drive
Fort Myers, FL 33919-5187

Mailing address

4017 Del Prado Blvd S
Cape Coral, FL 33904-7160
Phone (239) 549-1398

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041108000917 FL Part B Supplier - Clinic/Group Practice 9638132939 Receives reassigned benefits from 9 practitioners
Practice locations: Cape Coral, FL; Fort Myers, FL

National Provider Directory

National Provider Directory

Locations

3208 Chiquita Blvd S
Cape Coral, FL 33914

3208 Chiquita Blvd S
Ste 110
Cape Coral, FL 33914
Phone (239) 549-1398

4017 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 549-1398

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1780739946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4017 DEL PRADO BLVD S",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339047160",
            "telephone_number": "239-549-1398",
            "fax_number": "239-542-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8461 CYPRESS LAKE DRIVE",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339195187",
            "telephone_number": "239-489-1398",
            "fax_number": "239-482-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLERGY & ASTHMA CARE CENTRE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "CASTILLO",
        "authorized_official_first_name": "LAZARO",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "PRESIDENT  OWNER",
        "authorized_official_telephone_number": "239-549-1398",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207KI0005X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Clinical & Laboratory Immunology",
            "state": "FL",
            "license": "ME74018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.