Individual
DR. GUILLERMO ORESTES CASTELLVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11033 COUNTRYWAY BLVD, SUITE A, TAMPA, FL 33626-2628
(813) 496-9900
(813) 496-9920
Mailing address
PO BOX 320502, TAMPA, FL 33679-2502
(813) 496-9900
(813) 496-9920
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
ME 44641
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010022933
RAILROAD MEDICARE
FL
01
—
04050
BCBS OF FL
FL
01
—
229183
AVMED
FL
05
—
259319000
—
FL
Enumeration date
03/09/2007
Last updated
03/17/2015
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