Healthcare Provider Details

I. General information

NPI: 1255266656
Provider Name (Legal Business Name): REHANA GLADYS KOILPILLAI-CASTRO DMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1395 CENTER DRIVE
GAINESVILLE FL
32610-0001
US

IV. Provider business mailing address

2337 SW ARCHER RD APT 2066
GAINESVILLE FL
32608-1046
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-7960
  • Fax:
Mailing address:
  • Phone: 863-221-0732
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number31927
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: