Healthcare Provider Details

I. General information

NPI: 1790412104
Provider Name (Legal Business Name): GIOVANNI ESPINOSA PHARMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2022
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 E HWY 50
CLERMONT FL
34711-1914
US

IV. Provider business mailing address

1102 CHELSEA PARC DR
MINNEOLA FL
34715-8161
US

V. Phone/Fax

Practice location:
  • Phone: 352-243-7030
  • Fax:
Mailing address:
  • Phone: 407-227-5434
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPS64509
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: