Provider Demographics
NPI:1326031642
Name:CASTAGNA, FRANK J (DPM)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:J
Last Name:CASTAGNA
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6160 N DAVIS HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6949
Mailing Address - Country:US
Mailing Address - Phone:850-476-2805
Mailing Address - Fax:850-476-3010
Practice Address - Street 1:6160 N DAVIS HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6994
Practice Address - Country:US
Practice Address - Phone:850-476-2805
Practice Address - Fax:850-476-3010
Is Sole Proprietor?:No
Enumeration Date:2005-08-23
Last Update Date:2012-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO1365213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL040994400Medicaid
FL1236350001OtherMEDICARE DMERC
FLK1811Medicare PIN