Healthcare Provider Details

I. General information

NPI: 1386400067
Provider Name (Legal Business Name): ALEXANDRA M CASTRO APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2024
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6424 ALEXANDRA LOUISE DR
ORLANDO FL
32827-5810
US

IV. Provider business mailing address

6424 ALEXANDRA LOUISE DR
ORLANDO FL
32827-5810
US

V. Phone/Fax

Practice location:
  • Phone: 407-270-2836
  • Fax:
Mailing address:
  • Phone: 407-270-2836
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License NumberAPRN11031331
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11031331
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: