Provider Demographics
NPI:1760830731
Name:CASTINEIRA, JANYLL IRENE (DO)
Entity Type:Individual
Prefix:
First Name:JANYLL
Middle Name:IRENE
Last Name:CASTINEIRA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13777 BELCHER RD S STE 100
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:FL
Mailing Address - Zip Code:33771-4096
Mailing Address - Country:US
Mailing Address - Phone:727-544-1600
Mailing Address - Fax:727-546-9071
Practice Address - Street 1:13777 BELCHER RD S STE 100
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4096
Practice Address - Country:US
Practice Address - Phone:727-544-1600
Practice Address - Fax:727-546-9071
Is Sole Proprietor?:No
Enumeration Date:2016-05-31
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS15490207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology