Provider Demographics
NPI:1588062905
Name:ESPINALES, SHAKHNOZA (CSTFA)
Entity type:Individual
Prefix:
First Name:SHAKHNOZA
Middle Name:
Last Name:ESPINALES
Suffix:
Gender:F
Credentials:CSTFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10843 SAVANNAH LANDING CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32832-5115
Mailing Address - Country:US
Mailing Address - Phone:407-520-2020
Mailing Address - Fax:
Practice Address - Street 1:10843 SAVANNAH LANDING CIR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32832-5115
Practice Address - Country:US
Practice Address - Phone:407-520-2020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-17
Last Update Date:2025-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Multi-Specialty