MEDICARE: MARIA ANTONIA ESPINEL N.P.

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	ARNP9311557	FL

General Provider Information

NPI Number	:	1396293023
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIA ANTONIA ESPINEL N.P.

Provider Business Mailing Address
First Line	:	3536 N FEDERAL HWY
Second Line	:	SUITE 102
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6264
Country	:	US
Telephone Number	:	954-368-3348
Fax Number	:	954-990-4720

Provider Business Practice Location Address
First Line	:	3536 N FEDERAL HWY
Second Line	:	SUITE 102
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33308-6264
Country	:	US
Telephone Number	:	954-368-3348
Fax Number	:	954-990-4720

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

Provider Enumeration Date	:	09/11/2016
Last Update Date	:	01/27/2017

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