MEDICARE: MRS. TERRY MARIE CASTRO-KRAWTZ R.N.

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	163WC0400X	Case Management Registered Nurse	RN1904732	FL

General Provider Information

NPI Number	:	1760502678
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. TERRY MARIE CASTRO-KRAWTZ R.N.

Provider Business Mailing Address
First Line	:	29529 BIG PINE ST
Second Line	:
City	:	BIG PINE KEY
State	:	FL
Zip	:	33043-6200
Country	:	US
Telephone Number	:	305-294-1089
Fax Number	:	305-296-1530

Provider Business Practice Location Address
First Line	:	5220 COLLEGE RD
Second Line	:
City	:	KEY WEST
State	:	FL
Zip	:	33040-4302
Country	:	US
Telephone Number	:	305-294-1089
Fax Number	:	305-296-1530

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

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	07/09/2007

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