Healthcare Provider Details

I. General information

NPI: 1326031642
Provider Name (Legal Business Name): FRANK J CASTAGNA DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2005
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6160 N DAVIS HWY SUITE 1
PENSACOLA FL
32504-6994
US

IV. Provider business mailing address

6160 N DAVIS HWY SUITE 1
PENSACOLA FL
32504-6949
US

V. Phone/Fax

Practice location:
  • Phone: 850-476-2805
  • Fax: 850-476-3010
Mailing address:
  • Phone: 850-476-2805
  • Fax: 850-476-3010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO1365
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: