Healthcare Provider Details

I. General information

NPI: 1902890999
Provider Name (Legal Business Name): EDUARDO ESPER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2005
Last Update Date: 11/17/2025
Certification Date: 11/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6440 W NEWBERRY RD STE 102
GAINESVILLE FL
32605-4368
US

IV. Provider business mailing address

6440 W NEWBERRY RD STE 102
GAINESVILLE FL
32605-4368
US

V. Phone/Fax

Practice location:
  • Phone: 352-333-5610
  • Fax: 352-333-5611
Mailing address:
  • Phone: 352-333-5610
  • Fax: 352-333-5611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License NumberME154293
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2086S0129X
TaxonomyVascular Surgery Physician
License Number01057522A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: