MEDICARE: DR. FREDDY ALONSO ESCOBAR MD

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	2084N0400X	Neurology Physician	ME167407	FL
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1326674383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDDY ALONSO ESCOBAR MD

Provider Business Mailing Address
First Line	:	720 W OAK ST STE 201
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34741-4998
Country	:	US
Telephone Number	:	407-518-2702
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 N ALAFAYA TRL STE 800
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32826-4755
Country	:	US
Telephone Number	:	218-412-8003
Fax Number	:	407-650-5044

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

Provider Enumeration Date	:	03/20/2020
Last Update Date	:	06/18/2026

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