Provider Demographics
NPI:1205547452
Name:CASTELONE, DONNA JEANNE
Entity type:Individual
Prefix:
First Name:DONNA
Middle Name:JEANNE
Last Name:CASTELONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 E FALCONRY CT
Mailing Address - Street 2:
Mailing Address - City:HERNANDO
Mailing Address - State:FL
Mailing Address - Zip Code:34442-8355
Mailing Address - Country:US
Mailing Address - Phone:352-422-6876
Mailing Address - Fax:
Practice Address - Street 1:205 E FALCONRY CT
Practice Address - Street 2:
Practice Address - City:HERNANDO
Practice Address - State:FL
Practice Address - Zip Code:34442-8355
Practice Address - Country:US
Practice Address - Phone:352-422-6876
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMA39199225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist