Healthcare Provider Details

I. General information

NPI: 1376390666
Provider Name (Legal Business Name): CASTILLO DE PAZ NURSING SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2024
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 S KIRKMAN RD STE 310
ORLANDO FL
32819-7937
US

IV. Provider business mailing address

5401 S KIRKMAN RD STE 310
ORLANDO FL
32819-7937
US

V. Phone/Fax

Practice location:
  • Phone: 863-206-4562
  • Fax: 863-228-8475
Mailing address:
  • Phone: 863-206-4562
  • Fax: 863-228-8475

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE MCDANIEL
Title or Position: OWNER
Credential: PMHNP-BC
Phone: 863-206-4562