MEDICARE: ALBERT CASTELLON, M.D., P.A.

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	2084P0800X	Psychiatry Physician	ME88395	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

General Provider Information

NPI Number	:	1629246343
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALBERT CASTELLON, M.D., P.A.

Provider Business Mailing Address
First Line	:	4613 N UNIVERSITY DR
Second Line	:	419
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4602
Country	:	US
Telephone Number	:	954-491-9801
Fax Number	:	954-491-9808

Provider Business Practice Location Address
First Line	:	4613 N UNIVERSITY DR
Second Line	:	419
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33067-4602
Country	:	US
Telephone Number	:	305-970-3193
Fax Number	:	954-827-0213

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALBERT FRANCIS CASTELLON
Credential	:	M.D.
Telephone Number	:	954-491-9801

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	01/19/2016

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