Provider Demographics
NPI:1194732792
Name:ESPINOSA, OSCAR (MD)
Entity type:Individual
Prefix:
First Name:OSCAR
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8620 S TAMIAMI TRL
Mailing Address - Street 2:SUITE F-G
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3049
Mailing Address - Country:US
Mailing Address - Phone:941-724-4545
Mailing Address - Fax:941-351-3868
Practice Address - Street 1:8620 S TAMIAMI TRL
Practice Address - Street 2:SUITE F-G
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3049
Practice Address - Country:US
Practice Address - Phone:941-724-4545
Practice Address - Fax:941-351-3868
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2009-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0059545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL12596OtherBCBS
FL080180782OtherRAIL ROAD MEDICARE
FL7834OtherHEALTHPARTNERS
FL00027001601OtherUNIVERA
FL15474OtherSTAYWELL HEALTHEASE WELLC
FL605329OtherCOVENTRY
FL6661953OtherCIGNA
FL605329OtherHEALTH AMERICA
FL633701OtherAMERIHEALTH
FL650123956001OtherMEDICAL MUTUAL
FL605329OtherADVANTRA
FLFP1682OtherHEALTHNET
FL00233OtherUNIVERSAL
FL7641793OtherGHI
FL7765576OtherAETNA
FL605329OtherADVANTRA
FL6661953OtherCIGNA
FL12596XMedicare PIN