MEDICARE: MR. RICARDO F ESPINDOLA I APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	11021156	FL

General Provider Information

NPI Number	:	1154059475
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICARDO F ESPINDOLA I APRN

Provider Business Mailing Address
First Line	:	3520 NE 17TH AVE
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-5330
Country	:	US
Telephone Number	:	954-683-8247
Fax Number	:

Provider Business Practice Location Address
First Line	:	7357 WILSON RD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33413-2240
Country	:	US
Telephone Number	:	561-653-1663
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/13/2022
Last Update Date	:	08/13/2022

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