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General NPI Number Information
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NPI Number | 1114010998
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Entity Type | Individual
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Provider Name | MICHELLE ESPERANZA OD
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Gender | Female
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 601 E OAK ST
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City | KISSIMMEE
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State | FL
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Zip | 34744-4574
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Country | US
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Telephone | 407-799-7281
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Fax |
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Provider Business Mailing Address
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Address Line | 1480 CANOPY PASTURE DR
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City | SAINT CLOUD
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State | FL
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Zip | 34771-8886
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Country | US
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Telephone | 407-799-7281
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Fax | 407-870-0747
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WC0802X
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Taxonomy Name | Corneal and Contact Management Optometrist
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License Number | OPC4278
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | OPC4278
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | ODT2644
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License Number State | TN
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