Healthcare Provider Details

I. General information

NPI: 1265488043
Provider Name (Legal Business Name): FELIX JAMES ESAREY DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/10/2020
Certification Date: 08/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2131 SW 20TH PL
OCALA FL
34471-7734
US

IV. Provider business mailing address

2230 SW 19TH AVENUE RD
OCALA FL
34471-1391
US

V. Phone/Fax

Practice location:
  • Phone: 352-237-4133
  • Fax: 352-237-7728
Mailing address:
  • Phone: 352-237-4133
  • Fax: 352-237-7728

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License NumberPO2795
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: