Individual
JORGE LUIS CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1055 N DIXIE FWY STE 1, NEW SMYRNA BEACH, FL 32168-6200
(386) 423-0505
(386) 423-0515
Mailing address
1055 N DIXIE FWY STE 1, NEW SMYRNA BEACH, FL 32168-6200
(386) 423-0505
(386) 423-0515
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
ME157715
FL
207RN0300X
Nephrology Physician
Primary
157715
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
114852900
—
FL
Enumeration date
04/16/2010
Last updated
09/05/2024
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