MEDICARE: LESLIE YESSENIA CASTILLO-ORTIZ DC

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	111N00000X	Chiropractor	15822	FL

General Provider Information

NPI Number	:	1518813112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LESLIE YESSENIA CASTILLO-ORTIZ DC

Provider Business Mailing Address
First Line	:	1010 N SWALLOW TAIL DR APT 2305
Second Line	:
City	:	PORT ORANGE
State	:	FL
Zip	:	32129-4159
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2430 S ATLANTIC AVE STE C
Second Line	:
City	:	DAYTONA BEACH
State	:	FL
Zip	:	32118-5419
Country	:	US
Telephone Number	:	650-580-8449
Fax Number	:

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

Provider Enumeration Date	:	03/06/2026
Last Update Date	:	03/06/2026

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Directions to “ LESLIE YESSENIA CASTILLO-ORTIZ DC” Practice Location

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