Dr. Rosana Lastra Castellucci, M.D.

Pediatrics in St Petersburg, FL. Individual provider (NPI-1).

NPI number1295077626

StatusActive

Last updated in NPPESNov 2, 2021

Details

NPI: 1295077626
Entity type: Individual (NPI-1)
Name: Dr. Rosana Lastra Castellucci
Credential: M.D.
Sex: Female
Sole proprietor: No
Enumeration date: Mar 24, 2013
Certification date: Nov 2, 2021
Last updated: Nov 2, 2021

Medicare and OIG

Medicare enrolled (PECOS): Yes · PRACTITIONER - PEDIATRIC MEDICINE
Can order and refer: Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list: This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
208000000X	Pediatrics	ME140258	FL	Yes

Practice location

336 Lang Ct N
St Petersburg, FL 33701-2724

Phone 727-209-7213 · Fax 601-429-9371

Mailing address

336 Lang Ct N
St Petersburg, FL 33701-2724

Phone 134-019-8838

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Other Pediatrics Physician providers in St Petersburg, FL

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