Individual
DR. KEITH KASTELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
801 E DIXIE AVE, STE 104, LEESBURG, FL 34748-7699
(352) 365-2583
(352) 728-6749
Mailing address
734 N 3RD ST, STE 115, LEESBURG, FL 34748-5285
(352) 365-2583
(352) 728-6749
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
104154
MO
Other
Enumeration date
10/03/2006
Last updated
05/10/2016
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