Ivan Espaillat MD PA

NPI #1023037066 in Miami, Florida

Provider Information

NPI Number: 1023037066
Entity Type: Organization
Organization Name: Ivan Espaillat MD PA
Primary Specialty: Specialist
Enumeration Date: Jul 19, 2006
Last Updated: Sep 17, 2007

Practice Location

Address: 12002 SW 128TH CT
Address 2: SUITE 204
City: Miami
State: Florida
ZIP Code: 33186-4639
Phone: (305) 255-1127

Authorized Official

Name: IVAN ESPAILLAT, MD PA
Title: MD
Phone: (305) 255-1127

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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