Individual provider Active NPI

Maritza Castillo Alfonso

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1063285773
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11029710 Issued in FL
Practice address
888 S Parsons Ave
Brandon, FL 33511-6007
Phone
(813) 697-1888
NPI assigned
Nov 3, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11029710 FL Primary

Addresses

Primary practice location

888 S Parsons Ave
Brandon, FL 33511-6007

Mailing address

6822 W Waters Ave
Tampa, FL 33634-2212
Phone (813) 280-4909

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231227000267 FL Practitioner - Nurse Practitioner 6709236235 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11029710FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Care Physicians LLC CurrentSince Mar 1, 2026 Accepting new patients
Health First Primary Care LLC Past Accepting new patients
Main Street Medical LLC Past Accepting new patients
LBH Med Group LLC PastSince Nov 1, 2023 Accepting new patients

Locations

3021 Commercial Way
Spring Hill, FL 34606
Phone (352) 688-3379

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GECGDD/Endpoint/GECGDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEGCBD/Endpoint/EEGCBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/IECGDD/Endpoint/IECGDD

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1063285773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6822 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336342212",
            "telephone_number": "813-280-4909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 S PARSONS AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116007",
            "telephone_number": "813-697-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTILLO ALFONSO",
        "first_name": "MARITZA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-03",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11029710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.