MEDICARE: ORLANDO CASTRO MALDONADO FNP-C

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
1	363LF0000X	Family Nurse Practitioner	APRN11045951	FL

General Provider Information

NPI Number	:	1255202966
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO CASTRO MALDONADO FNP-C

Provider Business Mailing Address
First Line	:	2012 NW 13TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-3612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2012 NW 13TH AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33311-3612
Country	:	US
Telephone Number	:	786-367-8595
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/16/2025
Last Update Date	:	03/10/2026

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