Provider Demographics
NPI:1396293023
Name:ESPINEL, MARIA ANTONIA (NP)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ANTONIA
Last Name:ESPINEL
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3536 N FEDERAL HWY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33308-6264
Mailing Address - Country:US
Mailing Address - Phone:954-368-3348
Mailing Address - Fax:954-990-4720
Practice Address - Street 1:3536 N FEDERAL HWY
Practice Address - Street 2:SUITE 102
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-6264
Practice Address - Country:US
Practice Address - Phone:954-368-3348
Practice Address - Fax:954-990-4720
Is Sole Proprietor?:No
Enumeration Date:2016-09-11
Last Update Date:2017-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9311557363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily