Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 45247 | KY |
N | 2080P0208X | Pediatric Infectious Diseases | 0433582 | KS |
N | 2080P0208X | Pediatric Infectious Diseases | 4301093992 | MI |
N | 2080P0208X | Pediatric Infectious Diseases | 45247 | KY |
Y | 2080P0208X | Pediatric Infectious Diseases | ME141047 | FL |
NPI | 1093840522 |
---|---|
Provider Name | Claudia Mily Espinosa |
First Address | Orlando, FL 32891-0001 |
Second Address | Tampa, FL 33612 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/02/2007 |
Last Update Date | 27/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103421700 | (05) | FL |
201175820 | (05) | IN |
7100210910 | (05) | KY |
LK785 | MEDICARE (01) | FL |
VGPXZ | BLUE CROSS BLUE SHIELD (01) | FL |