MEDICARE: ALMA DELIA ESPINOSA ARNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LG0600X	Gerontology Nurse Practitioner	ARNP9214673	FL
2	363LP2300X	Primary Care Nurse Practitioner	ARNP9214673	FL
3	363LA2200X	Adult Health Nurse Practitioner	ARNP9214673	FL

General Provider Information

NPI Number	:	1407251986
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALMA DELIA ESPINOSA ARNP

Provider Business Mailing Address
First Line	:	11954 BOYETTE RD
Second Line	:
City	:	RIVERVIEW
State	:	FL
Zip	:	33569-5601
Country	:	US
Telephone Number	:	813-672-2243
Fax Number	:	618-672-2245

Provider Business Practice Location Address
First Line	:	4002 SUN CITY CENTER BLVD UNIT 101
Second Line	:
City	:	SUN CITY CENTER
State	:	FL
Zip	:	33573-5208
Country	:	US
Telephone Number	:	813-672-2243
Fax Number	:	813-672-2245

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/27/2014
Last Update Date	:	09/26/2023

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