Provider Demographics
NPI:1902056922
Name:L. M. CASTELLANO-HOWARD, P.A.
Entity type:Organization
Organization Name:L. M. CASTELLANO-HOWARD, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASTELLANO-HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-879-6207
Mailing Address - Street 1:306 S MACDILL AVE
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-3142
Mailing Address - Country:US
Mailing Address - Phone:813-879-6207
Mailing Address - Fax:813-875-9256
Practice Address - Street 1:2919 W SWANN AVE STE 403
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4084
Practice Address - Country:US
Practice Address - Phone:813-879-6207
Practice Address - Fax:813-875-9256
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-26
Last Update Date:2024-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0073940174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
1588631683OtherNPI
1588631683OtherNPI
FLG60984Medicare UPIN