Healthcare Provider Details

I. General information

NPI: 1780550699
Provider Name (Legal Business Name): ELAISA ESQUEFF OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/16/2025
Last Update Date: 10/16/2025
Certification Date: 10/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7800 SW 57TH AVE STE 205
SOUTH MIAMI FL
33143-5542
US

IV. Provider business mailing address

7800 SW 57TH AVE STE 205
SOUTH MIAMI FL
33143-5542
US

V. Phone/Fax

Practice location:
  • Phone: 305-854-2471
  • Fax: 305-854-0811
Mailing address:
  • Phone: 305-854-2471
  • Fax: 305-854-0811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT26577
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: