Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | ME0021723 | FL |
NPI | 1053423848 |
---|---|
Provider Name | Dr. Trinidad Espiritu Garcia |
First Address | Okeechobee, FL 34972 |
Second Address | Okeechobee, FL 34972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 24/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
053451000 | (05) | FL |
D54985 | (02) |