Provider Demographics
NPI:1689639650
Name:CASTILLO, ORLANDO J (MD)
Entity type:Individual
Prefix:
First Name:ORLANDO
Middle Name:J
Last Name:CASTILLO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2810 W SAINT ISABEL ST
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-6375
Mailing Address - Country:US
Mailing Address - Phone:813-873-7479
Mailing Address - Fax:813-877-6324
Practice Address - Street 1:2810 W SAINT ISABEL ST
Practice Address - Street 2:SUITE # 101
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-6375
Practice Address - Country:US
Practice Address - Phone:813-873-7479
Practice Address - Fax:813-877-6324
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2008-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0037808207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology