Healthcare Provider Details

I. General information

NPI: 1568890952
Provider Name (Legal Business Name): CYNTHIA ESCOBAR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/22/2013
Last Update Date: 04/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16801 NW 67TH AVE MINUTE CLINIC
HIALEAH FL
33015-4203
US

IV. Provider business mailing address

16801 NW 67TH AVE
HIALEAH FL
33015-4203
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 866-389-2727
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9296155
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: