Provider Demographics
NPI:1578231007
Name:CASTRO, MICHELLE MELENDEZ (FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:MICHELLE
Middle Name:MELENDEZ
Last Name:CASTRO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5360 CARRARA CT
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34771-8046
Mailing Address - Country:US
Mailing Address - Phone:407-493-0330
Mailing Address - Fax:
Practice Address - Street 1:5360 CARRARA CT
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34771-8046
Practice Address - Country:US
Practice Address - Phone:407-493-0330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-31
Last Update Date:2021-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLF07211559363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLAPRN11015397OtherDEPT OF HEALTH