Provider Demographics
NPI:1801160122
Name:LALANE DEL CASTILLO, NEGIA ELISA (MD)
Entity type:Individual
Prefix:
First Name:NEGIA
Middle Name:ELISA
Last Name:LALANE DEL CASTILLO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 919023
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32891-9023
Mailing Address - Country:US
Mailing Address - Phone:352-404-7718
Mailing Address - Fax:352-404-7723
Practice Address - Street 1:2020 OAKLEY SEAVER DR
Practice Address - Street 2:STE 1
Practice Address - City:CLERMONT
Practice Address - State:FL
Practice Address - Zip Code:34711-1902
Practice Address - Country:US
Practice Address - Phone:352-404-7718
Practice Address - Fax:352-404-7723
Is Sole Proprietor?:No
Enumeration Date:2012-03-05
Last Update Date:2014-10-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME 120110207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease