Healthcare Provider Details

I. General information

NPI: 1205825486
Provider Name (Legal Business Name): DAVID ESGUERRA DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/19/2005
Last Update Date: 07/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8220 US HIGHWAY 19
PORT RICHEY FL
34668-6639
US

IV. Provider business mailing address

8220 US HIGHWAY 19
PORT RICHEY FL
34668-6639
US

V. Phone/Fax

Practice location:
  • Phone: 727-841-8505
  • Fax: 727-846-0561
Mailing address:
  • Phone: 727-841-8505
  • Fax: 727-846-0561

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207N00000X
TaxonomyDermatology Physician
License NumberOS7903
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: