MEDICARE: DR. PAUL T CASTRO MD

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	207R00000X	Internal Medicine Physician	ME 76248	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	59168345	OTHER	FL	BSAL
2	45 B4795	OTHER	FL	AETNA
3	44223	OTHER	FL	BSFL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1013992031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL T CASTRO MD

Provider Business Mailing Address
First Line	:	8383 N DAVIS HWY
Second Line	:	WEST FLORIDA HOSPITAL
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6039
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8383 N DAVIS HWY
Second Line	:	WEST FLORIDA HOSPITAL
City	:	PENSACOLA
State	:	FL
Zip	:	32514-6039
Country	:	US
Telephone Number	:	850-494-5403
Fax Number	:	850-494-4382

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2005
Last Update Date	:	07/08/2007

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Directions to “ DR. PAUL T CASTRO MD” Practice Location

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