Provider Demographics
NPI:1144619313
Name:ESPINOZA FAMILY CHIROPRACTIC
Entity Type:Organization
Organization Name:ESPINOZA FAMILY CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:OCTAVIO
Authorized Official - Middle Name:JOSE
Authorized Official - Last Name:ESPINOZA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:786-558-8075
Mailing Address - Street 1:8500 SW 8TH ST
Mailing Address - Street 2:SUITE 222
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33144-4055
Mailing Address - Country:US
Mailing Address - Phone:786-558-8075
Mailing Address - Fax:786-558-8076
Practice Address - Street 1:8500 SW 8TH ST
Practice Address - Street 2:SUITE 222
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33144-4055
Practice Address - Country:US
Practice Address - Phone:786-558-8075
Practice Address - Fax:786-558-8076
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH 10947111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1912339953OtherPERSONAL NPI