MEDICARE: MOISES ESQUENAZI 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
1	2084P0804X	Child & Adolescent Psychiatry Physician	ME125965	FL
2	2084P0800X	Psychiatry Physician	ME 125965	FL

Other Identifiers

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

General Provider Information

NPI Number	:	1659743797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MOISES ESQUENAZI M.D.

Provider Business Mailing Address
First Line	:	1400 E OAKLAND PARK BLVD STE 210
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33334-4400
Country	:	US
Telephone Number	:	954-561-6222
Fax Number	:	888-789-4484

Provider Business Practice Location Address
First Line	:	5901 SW 74TH ST STE 408
Second Line	:
City	:	SOUTH MIAMI
State	:	FL
Zip	:	33143-5164
Country	:	US
Telephone Number	:	305-735-3555
Fax Number	:	954-990-7650

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

Provider Enumeration Date	:	10/28/2015
Last Update Date	:	06/29/2023

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Directions to “ MOISES ESQUENAZI M.D.” Practice Location

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