Healthcare Provider Details

I. General information

NPI: 1013799949
Provider Name (Legal Business Name): MARIA ALEJANDRA ESCALONA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/16/2023
Last Update Date: 11/01/2023
Certification Date: 11/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1317 EDGEWATER DR
ORLANDO FL
32804-6350
US

IV. Provider business mailing address

11435 SW 58TH TER
MIAMI FL
33173-1016
US

V. Phone/Fax

Practice location:
  • Phone: 877-436-8527
  • Fax:
Mailing address:
  • Phone: 786-474-2095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: