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General NPI Number Information
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NPI Number | 1114483161
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Entity Type | Organization
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Legal Business Name | ALEJANDRO ESPAILLAT MD PLLC
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Dates
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Enumeration Date | 02/14/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 3400 LAKESIDE DR STE 901
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City | MIRAMAR
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State | FL
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Zip | 33027-3229
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Country | US
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Telephone | 305-431-9172
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Fax |
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Provider Business Mailing Address
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Address Line | 700 S ROSEMARY AVE STE 204
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-6310
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DOCTOR
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Name | ALEJANDRO ESPAILLAT
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Credential | MD
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Telephone | 305-431-9172
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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