Provider Demographics
NPI:1689629354
Name:CASABAR, FELIPE SANGALANG JR
Entity Type:Individual
Prefix:DR
First Name:FELIPE
Middle Name:SANGALANG
Last Name:CASABAR
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5307 MAIN ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-2536
Mailing Address - Country:US
Mailing Address - Phone:727-846-8118
Mailing Address - Fax:727-846-6904
Practice Address - Street 1:5307 MAIN ST
Practice Address - Street 2:SUITE 104
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-2536
Practice Address - Country:US
Practice Address - Phone:727-846-8118
Practice Address - Fax:727-846-6904
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2011-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059154207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine