Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Odalis Castellon, PHYSICIANASSISTANT

Individual provider Surgical Physician Assistant · NPI 1306120746

Mrs. Odalis Castellon, PHYSICIANASSISTANT is a Surgical Physician Assistant in Hollywood, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2011

Practice location Address checks out

3449 Johnson St
Hollywood, FL 33021 Not confirmed with CMS for 15 years — call before visiting
Phone: (954) 964-4113
Fax: (954) 963-8121
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA9101779 (FL)

Record details

NPI number1306120746
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedOctober 4, 2011
Last updated in NPPESOctober 4, 2011

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