Provider Demographics
NPI:1558771154
Name:CASTO, STEVEN CLYDE (ARNP-BC)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:CLYDE
Last Name:CASTO
Suffix:
Gender:M
Credentials:ARNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9191 R G SKINNER PKWY
Mailing Address - Street 2:SUITE 103
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-9655
Mailing Address - Country:US
Mailing Address - Phone:904-580-4730
Mailing Address - Fax:904-580-4740
Practice Address - Street 1:9191 R G SKINNER PKWY
Practice Address - Street 2:SUITE 103
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-9655
Practice Address - Country:US
Practice Address - Phone:904-580-4730
Practice Address - Fax:904-580-4740
Is Sole Proprietor?:No
Enumeration Date:2014-05-05
Last Update Date:2017-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9176273363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health