Healthcare Provider Details

I. General information

NPI: 1346178597
Provider Name (Legal Business Name): ESUNA PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10395 NARCOOSSEE RD STE 500
ORLANDO FL
32832-6938
US

IV. Provider business mailing address

9722 SWEETLEAF ST
ORLANDO FL
32827-6813
US

V. Phone/Fax

Practice location:
  • Phone: 407-214-8808
  • Fax:
Mailing address:
  • Phone: 305-742-3555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JONATHAN WIRTH
Title or Position: MANAGING PARTNER
Credential: DDS
Phone: 305-742-3555