=====================================================
General NPI Number Information
=====================================================
NPI Number | 1306582127
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANA I PINON CASTILLO APRN
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/05/2022
-----------------------------------------------------
Last Update Date | 10/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2001 W SAMPLE RD STE 100
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33064-1346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-697-9292
-----------------------------------------------------
Fax | 954-708-2750
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2001 W SAMPLE RD STE 100
-----------------------------------------------------
City | DEERFIELD BEACH
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33064-1346
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 954-697-9292
-----------------------------------------------------
Fax | 954-708-2750
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 11018934
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------