Healthcare Provider Details

I. General information

NPI: 1649990748
Provider Name (Legal Business Name): RAUL FRANCO ESCOBAR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/30/2022
Last Update Date: 08/30/2022
Certification Date: 08/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9333 SW 152ND ST
PALMETTO BAY FL
33157-1778
US

IV. Provider business mailing address

7800 SW 141ST ST
PALMETTO BAY FL
33158-1513
US

V. Phone/Fax

Practice location:
  • Phone: 305-251-9099
  • Fax:
Mailing address:
  • Phone: 786-812-8155
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246ZC0007X
TaxonomySurgical Assistant
License Number22559
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: