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NPI Code Detail

MEDICARE: MS. SHEILA LYNN CASTILLO FNP-BC

MEDICARE: MS. SHEILA LYNN CASTILLO FNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAPRN11017805FL

General Provider Information

NPI Number : 1255046512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SHEILA LYNN CASTILLO FNP-BC
Provider Business Mailing Address
First Line : 11960 NE 16TH AVE APT 108
Second Line :
City : MIAMI
State : FL
Zip : 33161-6625
Country : US
Telephone Number : 786-955-7332
Fax Number :
Provider Business Practice Location Address
First Line : 400 NE 4TH ST
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33301-1152
Country : US
Telephone Number : 954-357-5785
Fax Number : 954-357-5779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2023
Last Update Date : 01/22/2023

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