Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | PO3996 | FL |
Y | 222Z00000X | Podiatrist | PO3996 | FL |
NPI | 1023496643 |
---|---|
Provider Name | Dr. Michael Casteel |
First Address | The Villages, FL 32162-2699 |
Second Address | The Villages, FL 32163-2036 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/05/2015 |
Last Update Date | 28/01/2021 |