MEDICARE: IVIS GRISELIS CASTILLO VAZQUEZ RN

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	163W00000X	Registered Nurse	30213085	FL

General Provider Information

NPI Number	:	1427907807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IVIS GRISELIS CASTILLO VAZQUEZ RN

Provider Business Mailing Address
First Line	:	5700 MEMORIAL HWY STE 212-D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5250
Country	:	US
Telephone Number	:	813-280-2932
Fax Number	:	813-436-5688

Provider Business Practice Location Address
First Line	:	5700 MEMORIAL HWY STE 212-D
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33615-5250
Country	:	US
Telephone Number	:	813-280-2932
Fax Number	:	813-436-5688

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

Provider Enumeration Date	:	01/27/2026
Last Update Date	:	01/27/2026

Similar Medicare Providers

1801751789 — FULL LIFE HOME CARE LLC
Practice Location Address:

5700 MEMORIAL HWY STE 212-D
TAMPA, FL
33615-5250

Practice Phone: 813-280-2932
Practice Fax: 813-436-5688

1346047560 — TURNWELL MENTAL HEALTH OF WEST FLORIDA, PA
Practice Location Address:

1001 S MACDILL AVE STE 800
TAMPA, FL
33629-5250

Practice Phone: 813-344-5074
Practice Fax:

1477607620 — MRS. MARIPAT PYATOK SNYDER SLP
Practice Location Address:

5250 HAMPTON BEACH PL
TAMPA, FL
33609-2498

Practice Phone: 813-288-1972
Practice Fax:

1437350998 — DR. PHUONG-UYEN LE DMD
Practice Location Address:

7123 N ARMENIA AVE
TAMPA, FL
33604-5250

Practice Phone: 813-932-7939
Practice Fax:

1083415590 — DANIEL CAMILO NAVA
Practice Location Address:

5250 ROYAL CYPRESS CIR # 4-5250
TAMPA, FL
33647-5053

Practice Phone: 786-389-3530
Practice Fax:

1093479685 — DIANA ROSA CABEZA HERNANDEZ
Practice Location Address:

6601 MEMORIAL HWY STE 105
TAMPA, FL
33615-4501

Practice Phone: 479-420-9849
Practice Fax:

Directions to “ IVIS GRISELIS CASTILLO VAZQUEZ RN” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.