Healthcare Provider Details

I. General information

NPI: 1881308419
Provider Name (Legal Business Name): LORELI ESCOLERO DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2023
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11023 GATEWOOD DR STE 101
BRADENTON FL
34211-4945
US

IV. Provider business mailing address

11023 GATEWOOD DR STE 101
BRADENTON FL
34211-4945
US

V. Phone/Fax

Practice location:
  • Phone: 941-744-1585
  • Fax: 941-744-1572
Mailing address:
  • Phone: 941-744-1585
  • Fax: 941-744-1572

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCH14348
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: