Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 019320 | LA |
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | ME0064176 | FL |
NPI | 1922024421 |
---|---|
Provider Name | Trina Elena Espinola |
First Address | St Petersburg, FL 33733-3247 |
Second Address | St Petersburg, FL 33701-4662 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 13/11/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
373236300 | (05) | FL |
E60527 | (02) | FL |