Provider Demographics
NPI:1558827105
Name:ESCALONA, YUSNEISY
Entity Type:Individual
Prefix:
First Name:YUSNEISY
Middle Name:
Last Name:ESCALONA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3522 S PT DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32822-4073
Mailing Address - Country:US
Mailing Address - Phone:407-325-9743
Mailing Address - Fax:
Practice Address - Street 1:3660 MAGUIRE BLVD STE 100
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32803-3059
Practice Address - Country:US
Practice Address - Phone:407-674-6870
Practice Address - Fax:407-674-6873
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-19
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLHHA374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide