MEDICARE: NADINE I ESQUENAZI HIS

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	237700000X	Hearing Instrument Specialist	2665	FL
2	237700000X	Hearing Instrument Specialist	AS2665	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	:	1679513154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NADINE I ESQUENAZI HIS

Provider Business Mailing Address
First Line	:	2510 E SUNSET RD
Second Line	:	UNIT 5-260
City	:	LAS VEGAS
State	:	NV
Zip	:	89120-3511
Country	:	US
Telephone Number	:	702-798-0113
Fax Number	:	866-291-5242

Provider Business Practice Location Address
First Line	:	269 S. FEDERAL HWY.
Second Line	:
City	:	DEERFIELD
State	:	FL
Zip	:	33441-4161
Country	:	US
Telephone Number	:	954-426-2500
Fax Number	:	954-426-3797

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

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	12/05/2014

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