Healthcare Provider Details

I. General information

NPI: 1366310245
Provider Name (Legal Business Name): CAROLINA ELIDA ESQUIVEL DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2671 4TH ST NE
NAPLES FL
34120-1319
US

IV. Provider business mailing address

2671 4TH ST NE
NAPLES FL
34120-1319
US

V. Phone/Fax

Practice location:
  • Phone: 305-975-9425
  • Fax:
Mailing address:
  • Phone: 305-975-9425
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number14875
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: