Healthcare Provider Details

I. General information

NPI: 1487956926
Provider Name (Legal Business Name): DAVID WALTER ESPENSCHEID M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/02/2010
Last Update Date: 06/15/2023
Certification Date: 06/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2257 N BAYLEN ST
PENSACOLA FL
32501-1703
US

IV. Provider business mailing address

1374 TIGER LAKE DR
GULF BREEZE FL
32563-5725
US

V. Phone/Fax

Practice location:
  • Phone: 850-572-6188
  • Fax: 850-462-9352
Mailing address:
  • Phone: 850-572-6188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberME108353
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberME108353
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: