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NPI Code Detail

MEDICARE: DR. JESSICA CASTELLANOS-DIAZ MD

MEDICARE:  DR. JESSICA  CASTELLANOS-DIAZ  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RE0101XEndocrinology, Diabetes & Metabolism PhysicianME151130FL
2207R00000XInternal Medicine Physician31658PR
3207RE0101XEndocrinology, Diabetes & Metabolism Physician25915FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1295117489
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JESSICA CASTELLANOS-DIAZ MD
Provider Business Mailing Address
First Line : 2400 N ORANGE BLOSSOM TRL STE 306
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-2308
Country : US
Telephone Number : 407-932-6190
Fax Number : 407-932-6191
Provider Business Practice Location Address
First Line : 2400 N ORANGE BLOSSOM TRL STE 306
Second Line :
City : KISSIMMEE
State : FL
Zip : 34744-2308
Country : US
Telephone Number : 407-932-6190
Fax Number : 407-932-6191
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2015
Last Update Date : 02/08/2026

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Directions to “ DR. JESSICA CASTELLANOS-DIAZ MD” Practice Location

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