Provider Demographics
NPI:1891737037
Name:CASTIGLIONI, ANALIA (MD)
Entity Type:Individual
Prefix:
First Name:ANALIA
Middle Name:
Last Name:CASTIGLIONI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 QUADRANGLE BLVD
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32817-1492
Mailing Address - Country:US
Mailing Address - Phone:407-266-3627
Mailing Address - Fax:407-309-4799
Practice Address - Street 1:3400 QUADRANGLE BLVD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32817-1492
Practice Address - Country:US
Practice Address - Phone:407-266-3627
Practice Address - Fax:407-309-4799
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2012-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114057207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051511818OtherBLUE CROSS
AL110245938OtherRAILROAD MEDICARE
AL009913265Medicaid
AL009914485Medicaid
AL051511813OtherBLUE CROSS
AL051511813Medicaid
AL051511817OtherBLUE CROSS
AL009914485Medicaid