person
Dr. Mayra M. Casta, MD
General Practice Physician in Tampa, Florida
NPI 1821046285

Mayra M. Casta is a General Practice Physician based in Orlando, FL. Mayra M. Casta practices in Tampa, FL and has the professional credentials of MD. The NPI Number for Mayra M. Casta is 1821046285 and holds a License No. ACN896 (Florida).

The current practice location address for Mayra M. Casta is 4700 N Habana Ave Ste 101, Tampa, FL and can be reached out via phone at 813-444-9599 and via fax at 813-513-8510. You can also correspond with Mayra M. Casta through the mailing address at 6675 WESTWOOD BLVD, ORLANDO, FL - 32821-8061 (mailing address contact number: 407-845-0330).

Location: 4700 N Habana Ave Ste 101, Tampa, FL, 32821-8061
person
Provider Profile Details
NPI Number
1821046285
Provider Name
Mayra M. Casta
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
4700 N Habana Ave Ste 101, Tampa, FL, 32821-8061
Phone Number
813-444-9599
Fax Number
813-513-8510
Provider Enumeration Date
05/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1508132 01 WELLCARE
P01814157 01 FL SIMPLY
P1051219 01 FL FEEDOM
P983472 01 FL OPTIMUM
U1N7R 01 FL FLORIDA BLUE
1145745 01 FL CAREPLUS
institution
Provider Business Practice Location Address Details
Address
4700 N Habana Ave Ste 101
City
State
Zip
33614-7116
Phone Number
813-444-9599
Fax Number
813-513-8510
person
Provider Business Mailing Address Details
Address
6675 Westwood Blvd
City
State
Zip
32821-8061
Phone Number
407-845-0330
Fax Number
888-972-1752
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
ACN896 (Florida)
Definition
Definition to come...
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