Active NPI
Casillas Medical and Wellness LLC
- Family Nurse Practitioner
- Apopka, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- CASILLAS MEDICAL AND WELLNESS LLC
- Practice address
- 1706 E Semoran Blvd Ste 118
Apopka, FL 32703-5600 - Phone
- (407) 765-6982
- Fax
- (407) 604-6336
- NPI assigned
- Oct 17, 2022
- Last updated
- Oct 17, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ariel Casillas, NP
- Title
- Owner
- Phone
- (407) 765-6982
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | Primary |
Addresses
Primary practice location
1706 E Semoran Blvd Ste 118
Apopka, FL 32703-5600
Mailing address
1706 E Semoran Blvd Ste 118
Apopka, FL 32703-5600
Phone (407) 765-6982
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2277667 | Casillas Medical and Wellness LLC | Certificate of waiver | Mar 1, 2027 |
National Provider Directory
National Provider DirectoryLocations
1706 E Semoran Blvd
Ste 118
Apopka, FL 32703
Phone (407) 765-6982
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Altamonte Springs, FL
- NPI 1255083556
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665964800000",
"number": "1437875929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1706 E SEMORAN BLVD STE 118",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035600",
"telephone_number": "407-765-6982",
"fax_number": "407-604-6336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1706 E SEMORAN BLVD STE 118",
"city": "APOPKA",
"state": "FL",
"postal_code": "327035600",
"telephone_number": "407-765-6982",
"fax_number": "407-604-6336"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CASILLAS MEDICAL AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-17",
"last_updated": "2022-10-17",
"certification_date": "2022-10-17",
"status": "A",
"authorized_official_last_name": "CASILLAS",
"authorized_official_first_name": "ARIEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "407-765-6982",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apopka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.