Entity Name: | L.M. CASTELLANO-HOWARD, P.A. |
Jurisdiction: | FLORIDA |
Filing Type: | Domestic Profit |
Status: | Active |
Date Filed: | 31 Aug 1999 (25 years ago) |
Document Number: | P99000077601 |
FEI/EIN Number | 593620689 |
Address: | 306 SOUTH MACDILL AVENUE, TAMPA, FL, 33609 |
Mail Address: | 306 SOUTH MACDILL AVENUE, TAMPA, FL, 33609 |
ZIP code: | 33609 |
County: | Hillsborough |
Place of Formation: | FLORIDA |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1902056922 | 2008-09-26 | 2024-06-11 | 306 S MACDILL AVE, TAMPA, FL, 336093142, US | 2919 W SWANN AVE STE 403, TAMPA, FL, 336094084, US | |||||||||||||||||||||||
|
Phone | +1 813-879-6207 |
Fax | 8138759256 |
Authorized person
Name | DR. LISA M CASTELLANO-HOWARD |
Role | PHYSICIAN |
Phone | 8138796207 |
Taxonomy
Taxonomy Code | 174400000X - Specialist |
License Number | ME0073940 |
State | FL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | NPI |
Number | 1588631683 |
Name | Role | Address |
---|---|---|
CASTELLANO NELSON T | Agent | 101 E. KENNEDY BLVD., TAMPA, FL, 33602 |
Name | Role | Address |
---|---|---|
CASTELLANO-HOWARD L.M. D | President | 306 S. MACDILL AVE., TAMPA, FL, 33609 |
Name | Role | Address |
---|---|---|
CASTELLANO VIVIAN M | Secretary | 306 S. MACDILL AVE., TAMPA, FL, 33609 |
Document Number | Status | Case Number | Name of Court | Date of Entry | Expiration Date | Amount Due | Plaintiff |
---|---|---|---|---|---|---|---|
J15000578464 | TERMINATED | 1000000676523 | HILLSBOROU | 2015-05-07 | 2025-05-13 | $ 491.62 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
J11000477922 | TERMINATED | 1000000224658 | HILLSBOROU | 2011-07-12 | 2021-08-03 | $ 1,643.15 | STATE OF FLORIDA, DEPARTMENT OF REVENUE, TAMPA SERVICE CENTER, 6302 E DR MARTIN LUTHER KING JR BLVD S, TAMPA FL336191166 |
Date of last update: 01 Jan 2025
Sources: Florida Department of State