Castellano, Taylor

Castellano, Taylor is an individual health care provider with primary practice located at Pediatric Associates 317 S. Dixie Freeway, New Smyrna Beach FL 32168-7158. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Castellano, Taylor can be contacted via phone (386) 424-1414.

Contact Information

Primary practice address
Pediatric Associates 317 S. Dixie Freeway New Smyrna Beach FL 32168-7158
Phone: (386) 424-1414
Fax: (386) 424-9130
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 9315008 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN9315008 Florida

Profile Details

NPI number 1376047134
LBN Legal business name Castellano, Taylor
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2018
Last updated Mar 29th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1376047134 NPPES
Florida MEDICAID 024817000

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