MEDICARE: AMANDA MARIE CASTEEL

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	133V00000X	Registered Dietitian	ND8966	FL

General Provider Information

NPI Number	:	1306493549
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA MARIE CASTEEL

Provider Business Mailing Address
First Line	:	4115 SAN MARINO BLVD APT 108
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-7726
Country	:	US
Telephone Number	:	307-315-7939
Fax Number	:

Provider Business Practice Location Address
First Line	:	560 VILLAGE BLVD STE 365
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1984
Country	:	US
Telephone Number	:	307-315-7939
Fax Number	:

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

Provider Enumeration Date	:	08/22/2019
Last Update Date	:	11/27/2023

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Directions to “ AMANDA MARIE CASTEEL ” Practice Location

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