Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO1365 | FL |
NPI | 1326031642 |
---|---|
Provider Name | Dr. Frank J Castagna |
First Address | Pensacola, FL 32504-6949 |
Second Address | Pensacola, FL 32504-6994 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2005 |
Last Update Date | 17/02/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040994400 | (05) | FL |
1236350001 | MEDICARE DMERC (01) | FL |