Provider Demographics
NPI:1184214975
Name:ESCABI, CARLOS A (LAC)
Entity Type:Individual
Prefix:
First Name:CARLOS
Middle Name:A
Last Name:ESCABI
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:609 NE 13TH AVE APT 103
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-2837
Mailing Address - Country:US
Mailing Address - Phone:954-380-2003
Mailing Address - Fax:
Practice Address - Street 1:1975 E SUNRISE BLVD STE 801
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-1407
Practice Address - Country:US
Practice Address - Phone:954-380-2003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-25
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP-4160171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty