MEDICARE: JOSEPH ESPINOSA

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number State
1	372500000X	Chore Provider	FL
2	372600000X	Adult Companion	FL
3	376K00000X	Nurse's Aide	FL

General Provider Information

NPI Number	:	1659797496
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH ESPINOSA

Provider Business Mailing Address
First Line	:	2425 PRESIDENTIAL WAY
Second Line	:	APT 203
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-1322
Country	:	US
Telephone Number	:	561-629-4026
Fax Number	:

Provider Business Practice Location Address
First Line	:	2425 PRESIDENTIAL WAY
Second Line	:	APT 203
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33401-1322
Country	:	US
Telephone Number	:	561-629-4026
Fax Number	:

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

Provider Enumeration Date	:	03/17/2014
Last Update Date	:	03/17/2014

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Directions to “ JOSEPH ESPINOSA ” Practice Location

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