Provider Demographics
NPI:1528885340
Name:ESGUERRA, INDIA (MSW)
Entity type:Individual
Prefix:
First Name:INDIA
Middle Name:
Last Name:ESGUERRA
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11063 LITTLE BLUE HERON DR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33579-2419
Mailing Address - Country:US
Mailing Address - Phone:904-322-6613
Mailing Address - Fax:
Practice Address - Street 1:2660 CYPRESS RIDGE BLVD STE 101
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6324
Practice Address - Country:US
Practice Address - Phone:813-994-4440
Practice Address - Fax:813-973-1254
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker