Provider Demographics
NPI:1265488043
Name:ESAREY, FELIX JAMES (DPM)
Entity Type:Individual
Prefix:
First Name:FELIX
Middle Name:JAMES
Last Name:ESAREY
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 SW 19TH AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-1391
Mailing Address - Country:US
Mailing Address - Phone:352-237-4133
Mailing Address - Fax:352-237-7728
Practice Address - Street 1:2131 SW 20TH PL
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-7734
Practice Address - Country:US
Practice Address - Phone:352-237-4133
Practice Address - Fax:352-237-7728
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-25
Last Update Date:2020-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO2795213ES0131X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213ES0131XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL193665OtherFIRST HEALTH NETWORK
FL65623OtherBLUE CROSS BLUE SHIELD
FLDE3612OtherRAILROAD
FL203729549OtherUNITED HEALTH CARE
FL5610790001OtherDMERC
FL193665OtherFIRST HEALTH NETWORK
FL203729549OtherUNITED HEALTH CARE
FL5610790002Medicare NSC