Healthcare Provider Details

I. General information

NPI: 1891944518
Provider Name (Legal Business Name): PAUL ANTONIO CASTILLO CARO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/17/2008
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 SW ARCHER RD BOX 100296
GAINESVILLE FL
32610-0296
US

IV. Provider business mailing address

1600 SW ARCHER RD BOX 100296
GAINESVILLE FL
32610-0296
US

V. Phone/Fax

Practice location:
  • Phone: 352-273-9120
  • Fax: 352-273-5941
Mailing address:
  • Phone: 352-273-9120
  • Fax: 352-273-5941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0207X
TaxonomyPediatric Hematology & Oncology Physician
License NumberME124967
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: