MEDICARE: DR. ALLEN RANDALL CASTELLO M.D.

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	ME0056679	FL

General Provider Information

NPI Number	:	1740287788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALLEN RANDALL CASTELLO M.D.

Provider Business Mailing Address
First Line	:	1173 BLACKWOOD AVE
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4518
Country	:	US
Telephone Number	:	407-877-4458
Fax Number	:	407-877-4494

Provider Business Practice Location Address
First Line	:	1173 BLACKWOOD AVE
Second Line	:
City	:	OCOEE
State	:	FL
Zip	:	34761-4518
Country	:	US
Telephone Number	:	407-877-4458
Fax Number	:	407-877-4494

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

Provider Enumeration Date	:	07/06/2005
Last Update Date	:	01/15/2015

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