Healthcare Provider Details

I. General information

NPI: 1609194349
Provider Name (Legal Business Name): PATRICIA C. ESQUIVEL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/05/2010
Last Update Date: 11/10/2025
Certification Date: 11/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1890 LPGA BLVD SUITE 160
DAYTONA BEACH FL
32117-7138
US

IV. Provider business mailing address

1890 LPGA BLVD STE 160
DAYTONA BEACH FL
32117
US

V. Phone/Fax

Practice location:
  • Phone: 386-252-4701
  • Fax: 386-253-9410
Mailing address:
  • Phone: 305-494-0120
  • Fax: 386-368-8927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberTRN14642
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME118745
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: