Individual
DR. DOMINIC M CASTELLANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
FLORIDA ENT & ALLERGY, 13015 SUMMERFIELD SQUARE DR, RIVERVIEW, FL 33578-7402
(813) 879-8045
(855) 388-5356
Mailing address
SELECT PHYSICIANS ALLIANCE, 10002 PRINCESS PALM AVE. STE 332, TAMPA, FL 33619-8327
(813) 571-7184
(813) 654-4695
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
ME101498
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962659854
NPI
—
Enumeration date
01/16/2008
Last updated
05/06/2019
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