MEDICARE: BOBBY ESCOE DO

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	207L00000X	Anesthesiology Physician	OS0005555	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	:	1871564021
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BOBBY ESCOE DO

Provider Business Mailing Address
First Line	:	PO BOX 862155
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32886-2155
Country	:	US
Telephone Number	:	913-647-0593
Fax Number	:	913-341-5797

Provider Business Practice Location Address
First Line	:	8787 BRYAN DAIRY RD
Second Line	:
City	:	LARGO
State	:	FL
Zip	:	33777-1251
Country	:	US
Telephone Number	:	727-394-5300
Fax Number	:

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

Provider Enumeration Date	:	01/27/2006
Last Update Date	:	02/26/2008

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Directions to “ BOBBY ESCOE DO” Practice Location

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