Healthcare Provider Details

I. General information

NPI: 1609367523
Provider Name (Legal Business Name): NADIA LOZANO CASTANEDA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2018
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 NW 70TH AVE STE 108
PLANTATION FL
33317-2360
US

IV. Provider business mailing address

2295 DOVER
WESTON FL
33326-2325
US

V. Phone/Fax

Practice location:
  • Phone: 954-848-1130
  • Fax: 954-848-1130
Mailing address:
  • Phone: 561-802-8399
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME150941
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: