Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 102498 | FL |
Y | 111NI0900X | Internist | 102498 | FL |
N | 207U00000X | Nuclear Medicine Specialist | 102498 | FL |
NPI | 1114982444 |
---|---|
Provider Name | Dr. Joseph J. Castronuovo |
First Address | Key Largo, FL 33037-3768 |
Second Address | Key Largo, FL 33037-3768 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/04/2006 |
Last Update Date | 11/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00614517 | (05) | NY |
904931 | MEDICARE (01) | NY |
B15726 | (02) | NY |
W9L981 | MEDICARE ID (01) | NY |