Individual
DR. MAYRA M. CASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4700 N HABANA AVE STE 101, TAMPA, FL 33614-7116
(813) 444-9599
(813) 513-8510
Mailing address
6675 WESTWOOD BLVD, SUITE 475, ORLANDO, FL 32821-8061
(407) 845-0330
(888) 972-1752
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
14334
PR
208D00000X
General Practice Physician
Primary
ACN896
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1145745
CAREPLUS
FL
01
—
1508132
WELLCARE
—
01
—
P01814157
SIMPLY
FL
01
—
P1051219
FEEDOM
FL
01
—
P983472
OPTIMUM
FL
01
—
U1N7R
FLORIDA BLUE
FL
Enumeration date
05/05/2006
Last updated
03/23/2018
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