Provider Demographics
NPI:1790897775
Name:ESPINOSA, OLGA (MD)
Entity Type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:ESPINOSA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 S DOUGLAS RD
Mailing Address - Street 2:STE B
Mailing Address - City:MIRAMAR
Mailing Address - State:FL
Mailing Address - Zip Code:33025-2734
Mailing Address - Country:US
Mailing Address - Phone:954-436-8444
Mailing Address - Fax:954-436-1159
Practice Address - Street 1:3220 S DOUGLAS RD
Practice Address - Street 2:STE B PEDIATRICS PA
Practice Address - City:MIRAMAR
Practice Address - State:FL
Practice Address - Zip Code:33025-2734
Practice Address - Country:US
Practice Address - Phone:954-436-8444
Practice Address - Fax:954-474-8425
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME89749208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics