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NPI Code Detail

MEDICARE: DR. FERDINAND S ESPELETA M.D.

MEDICARE: DR. FERDINAND S ESPELETA M.D.
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
12080A0000XPediatric Adolescent Medicine PhysicianMD0000034095TN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1366594301
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FERDINAND S ESPELETA M.D.
Provider Business Mailing Address
First Line : PO BOX 979
Second Line :
City : HENDERSONVILLE
State : TN
Zip : 37077-0979
Country : US
Telephone Number : 615-575-1080
Fax Number : 615-575-1084
Provider Business Practice Location Address
First Line : 1525 HUNT CLUB BLVD
Second Line : SUITE 600-A
City : GALLATIN
State : TN
Zip : 37066-6070
Country : US
Telephone Number : 615-575-1080
Fax Number : 615-575-1084
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2007
Last Update Date : 11/09/2011

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