Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207VX0201X | Gynecologic Oncologist | 044759 | GA |
Y | 207VX0201X | Gynecologic Oncologist | ME107731 | FL |
NPI | 1073581294 |
---|---|
Provider Name | Dr. Jacqueline Christine Castagno |
First Address | Pensacola, FL 32514-6091 |
Second Address | Pensacola, FL 32514-6091 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 10/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
002533800 | (05) | FL |
00772285A | (05) | GA |
F05797 | (02) |