Provider Demographics
NPI:1518145184
Name:CASTILLO, AKEMI M (ARNP)
Entity Type:Individual
Prefix:
First Name:AKEMI
Middle Name:M
Last Name:CASTILLO
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6261 NW 6 WAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33309-6103
Mailing Address - Country:US
Mailing Address - Phone:786-634-6400
Mailing Address - Fax:954-634-6444
Practice Address - Street 1:6261 NW 6TH WAY
Practice Address - Street 2:SUITE 202
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-6103
Practice Address - Country:US
Practice Address - Phone:954-634-6400
Practice Address - Fax:954-634-6444
Is Sole Proprietor?:No
Enumeration Date:2008-02-06
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9173207163WW0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0000XNursing Service ProvidersRegistered NurseWound Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP9173207OtherFL STATE LICENSE NUMBER