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Individual

PETER J CASELLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1501 BILL BECK BLVD, KISSIMMEE, FL 34744
(407) 943-8600
Mailing address
1503 BILL BECK BLVD, KISSIMMEE, FL 34744-9516
(407) 943-8600
(407) 932-5150

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME52981
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
07235
BCBS
FL
05
116107400
FL
01
P00470973
RAILROAD MEDICARE
FL
Enumeration date
01/24/2006
Last updated
05/06/2025
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