Castillo, Crystal Dawn

Castillo, Crystal Dawn is an individual health care provider with primary practice located at 4510 Pga Blvd # 101 , Palm Beach Gardens FL 33418-3968. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Castillo, Crystal Dawn can be contacted via phone (561) 627-7930.

Contact Information

Primary practice address
4510 Pga Blvd # 101 Palm Beach Gardens FL 33418-3968
Phone: (561) 627-7930
Fax: (561) 627-9574
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X APRN9248534 Florida
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN9248534 Florida

Profile Details

NPI number 1205193620
LBN Legal business name Castillo, Crystal Dawn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2012
Last updated Sep 8th, 2022 - about 4 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 1205193620 NPPES
Florida MEDICAID 009770300

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