Provider Demographics
NPI:1881015519
Name:AVELLAR, ESTHER MARIE (ARNP)
Entity Type:Individual
Prefix:
First Name:ESTHER
Middle Name:MARIE
Last Name:AVELLAR
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2814 HAMMOCK DR
Mailing Address - Street 2:
Mailing Address - City:PLANT CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33566-6734
Mailing Address - Country:US
Mailing Address - Phone:813-541-6362
Mailing Address - Fax:
Practice Address - Street 1:139 S PEBBLE BEACH BLVD STE 207
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-4712
Practice Address - Country:US
Practice Address - Phone:813-633-4000
Practice Address - Fax:813-633-4001
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-24
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9168130363LA2200X, 363LP0808X
FLAPRN9168130363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health