Provider Demographics
NPI:1912681008
Name:CASTRILLON-ESCOBAR, ADRIN
Entity Type:Individual
Prefix:
First Name:ADRIN
Middle Name:
Last Name:CASTRILLON-ESCOBAR
Suffix:
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 1:1355 ALTOONA AVE
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34609-6317
Mailing Address - Country:US
Mailing Address - Phone:813-325-2629
Mailing Address - Fax:
Practice Address - Street 1:2009 OSPREY LN
Practice Address - Street 2:
Practice Address - City:LUTZ
Practice Address - State:FL
Practice Address - Zip Code:33549-9374
Practice Address - Country:US
Practice Address - Phone:813-768-0711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-09
Last Update Date:2023-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician