Provider Demographics
NPI:1598828881
Name:CASTELLON, ALBERT FRANCIS (MD)
Entity Type:Individual
Prefix:DR
First Name:ALBERT
Middle Name:FRANCIS
Last Name:CASTELLON
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4613 N UNIVERSITY DR
Mailing Address - Street 2:419
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33067-4602
Mailing Address - Country:US
Mailing Address - Phone:305-970-3193
Mailing Address - Fax:954-827-0213
Practice Address - Street 1:6405 N FEDERAL HWY
Practice Address - Street 2:103
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-1412
Practice Address - Country:US
Practice Address - Phone:954-491-9801
Practice Address - Fax:954-491-9808
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2016-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME883952084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL270232100Medicaid
FLI24182Medicare UPIN
FLU4120ZMedicare PIN
FLK7054Medicare PIN
FL270232100Medicaid