Castro Reyes, Melissa

Castro Reyes, Melissa is an individual health care provider with primary practice located at 12301 Lake Underhill Rd Ste 215 , Orlando FL 32828-4511. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Castro Reyes, Melissa can be contacted via phone (321) 235-0692.

Contact Information

Primary practice address
12301 Lake Underhill Rd Ste 215 Orlando FL 32828-4511
Phone: (321) 235-0692
Fax: (321) 235-0694
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X APRN11012315 Florida

Profile Details

NPI number 1598344988
LBN Legal business name Castro Reyes, Melissa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2021
Last updated Feb 24th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598344988 NPPES
Florida Other APRN11012315 FLORIDA MEDICAL LICENSE
Florida MEDICAID 111278000 FLORIDA MEDICAL LICENSE

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