MEDICARE: ANABEL C CASTRO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	ME101546	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275790982
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANABEL C CASTRO MD

Provider Business Mailing Address
First Line	:	9310 OLD KINGS RD S STE 1303
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8100
Country	:	US
Telephone Number	:	904-900-3472
Fax Number	:	904-503-2373

Provider Business Practice Location Address
First Line	:	9310 OLD KINGS RD S STE 1303
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32257-8100
Country	:	US
Telephone Number	:	904-900-3472
Fax Number	:	904-503-2373

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2008
Last Update Date	:	08/12/2021

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Directions to “ ANABEL C CASTRO MD” Practice Location

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