Healthcare Provider Details

I. General information

NPI: 1700705498
Provider Name (Legal Business Name): MARCO P CASTELLINI DDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

13205 REAMS RD UNIT 156
WINDERMERE FL
34786-9543
US

IV. Provider business mailing address

13205 REAMS RD UNIT 156
WINDERMERE FL
34786-9543
US

V. Phone/Fax

Practice location:
  • Phone: 407-203-7037
  • Fax:
Mailing address:
  • Phone: 407-203-7037
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: MARCO P CASTELLINI
Title or Position: OWNER
Credential: DDS
Phone: 407-203-7037