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NPI Code Detail

MEDICARE: MR. CONOR EDWARD CASTLEBERRY CAA

MEDICARE:  MR. CONOR EDWARD CASTLEBERRY  CAA
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
1367H00000XAnesthesiologist AssistantAA1064FL
2367H00000XAnesthesiologist AssistantAA70072721WA

General Provider Information

NPI Number : 1659190858
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CONOR EDWARD CASTLEBERRY CAA
Provider Business Mailing Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 321-841-4607
Fax Number : 321-841-4603
Provider Business Practice Location Address
First Line : 92 W MILLER ST
Second Line :
City : ORLANDO
State : FL
Zip : 32806-2032
Country : US
Telephone Number : 321-841-4607
Fax Number : 321-841-4603
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/07/2024
Last Update Date : 05/22/2026

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Directions to “ MR. CONOR EDWARD CASTLEBERRY CAA” Practice Location

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