Healthcare Provider Details

I. General information

NPI: 1144726548
Provider Name (Legal Business Name): JAVIER ESCOVAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/04/2018
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5035 VIA DELRAY
DELRAY BEACH FL
33484-1315
US

IV. Provider business mailing address

5352 LINTON BLVD
DELRAY BEACH FL
33484-6514
US

V. Phone/Fax

Practice location:
  • Phone: 561-637-0500
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberME167813
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: