Healthcare Provider Details

I. General information

NPI: 1366691487
Provider Name (Legal Business Name): ANABEL P ESPIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/12/2008
Last Update Date: 10/31/2024
Certification Date: 10/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S OCEAN BLVD APT 211
POMPANO BEACH FL
33062-7389
US

IV. Provider business mailing address

1421 S OCEAN BLVD APT 211
POMPANO BEACH FL
33062-7389
US

V. Phone/Fax

Practice location:
  • Phone: 954-860-2025
  • Fax:
Mailing address:
  • Phone: 954-860-2025
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW15050
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberSW15050
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: