Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | PO2795 | FL |
NPI | 1265488043 |
---|---|
Provider Name | Felix James Esarey |
First Address | Ocala, FL 34471-1391 |
Second Address | Ocala, FL 34471-7734 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 10/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U78846 | (02) | FL |