Healthcare Provider Details

I. General information

NPI: 1306582127
Provider Name (Legal Business Name): ANA I PINON CASTILLO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2022
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 W SAMPLE RD STE 100
DEERFIELD BEACH FL
33064-1346
US

IV. Provider business mailing address

2001 W SAMPLE RD STE 100
DEERFIELD BEACH FL
33064-1346
US

V. Phone/Fax

Practice location:
  • Phone: 954-697-9292
  • Fax: 954-708-2750
Mailing address:
  • Phone: 954-697-9292
  • Fax: 954-708-2750

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number11018934
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number11018934
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: