Healthcare Provider Details

I. General information

NPI: 1720600380
Provider Name (Legal Business Name): JEREMIAH JOSPEH ESSIG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2020
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

265 E ROLLINS ST STE 7000
ORLANDO FL
32804-5577
US

IV. Provider business mailing address

265 E ROLLINS ST STE 7000
ORLANDO FL
32804-5577
US

V. Phone/Fax

Practice location:
  • Phone: 407-609-9078
  • Fax:
Mailing address:
  • Phone: 407-609-9078
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberME180161
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number261609
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: