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NPI Code Detail

MEDICARE: SHEYLA CASTILLO

MEDICARE:   SHEYLA  CASTILLO
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
1363L00000XNurse Practitioner11011080FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1588256853
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHEYLA CASTILLO
Provider Business Mailing Address
First Line : 604 SW 18TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-3432
Country : US
Telephone Number : 786-259-2710
Fax Number :
Provider Business Practice Location Address
First Line : 629 SW 4TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-1971
Country : US
Telephone Number : 239-800-3028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/09/2021
Last Update Date : 02/09/2021

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Directions to “ SHEYLA CASTILLO ” Practice Location

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