Castaneda, Jorge Luis

Castaneda, Jorge Luis is an individual health care provider with primary practice located at 1055 N Dixie Fwy Ste 1 , New Smyrna Beach FL 32168-6200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Castaneda, Jorge Luis can be contacted via phone (386) 416-0238.

Contact Information

Primary practice address
1055 N Dixie Fwy Ste 1 New Smyrna Beach FL 32168-6200
Phone: (386) 416-0238
Fax: (386) 423-0515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 157715 Mississippi

Profile Details

NPI number 1932425865
LBN Legal business name Castaneda, Jorge Luis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 16th, 2010
Last updated Jan 17th, 2024 - about 2 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 1932425865 NPPES
Florida MEDICAID 114852900

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