Healthcare Provider Details

I. General information

NPI: 1669934485
Provider Name (Legal Business Name): FRANCESCA ESCARRA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FRANCESCA TEBANO M.D.

II. Dates (important events)

Enumeration Date: 04/01/2019
Last Update Date: 03/21/2024
Certification Date: 03/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21942 EDGEWATER DR
PORT CHARLOTTE FL
33952-9723
US

IV. Provider business mailing address

21942 EDGEWATER DR
PORT CHARLOTTE FL
33952-9723
US

V. Phone/Fax

Practice location:
  • Phone: 941-505-2100
  • Fax:
Mailing address:
  • Phone: 941-505-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME167352
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME167352
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: