Healthcare Provider Details

I. General information

NPI: 1891190500
Provider Name (Legal Business Name): LISBETH ESPINA DE FLORES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/24/2014
Last Update Date: 10/28/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1108 GOLDEN CANE DR
WESTON FL
33327-2424
US

IV. Provider business mailing address

1108 GOLDEN CANE DR
WESTON FL
33327-2424
US

V. Phone/Fax

Practice location:
  • Phone: 786-326-5838
  • Fax:
Mailing address:
  • Phone: 786-326-5838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberARNP9366958
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP9366958
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: