Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jorge Enrique Castillo Molina

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1306474010

Jorge Enrique Castillo Molina is a General Practice in Tampa, Florida. Qualified in 1998, 28 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida and Puerto Rico.

Years since qualifying
28
Licensed in
FL, PR
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

7555 W Waters Ave
Tampa, FL 33615-1511
Phone: (855) 226-6633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9307 Pine Vlg, San Antonio, TX 78250-3983 — (210) 300-7541

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence ACN1281 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 15137-I (PR)

Record details

NPI number1306474010
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 29, 2020
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL PRACTICE
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Legacy Healthcare Services Inc — 3624 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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