Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | CH 8060 | FL |
NPI | 1295946556 |
---|---|
Provider Name | Dr. Gregory D Castleman |
First Address | Holiday, FL 34690-4508 |
Second Address | Holiday, FL 34690-4508 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2007 |
Last Update Date | 13/07/2010 |