Provider Demographics
NPI:1942312368
Name:ESPIRITU & ESPIRITU M.D'S, P.A.
Entity Type:Organization
Organization Name:ESPIRITU & ESPIRITU M.D'S, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:ATILLO
Authorized Official - Last Name:ESPIRITU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:863-467-0533
Mailing Address - Street 1:304 NE 19TH DR
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-1911
Mailing Address - Country:US
Mailing Address - Phone:863-467-0533
Mailing Address - Fax:863-467-4303
Practice Address - Street 1:304 NE 19TH DR
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-1911
Practice Address - Country:US
Practice Address - Phone:863-467-0533
Practice Address - Fax:863-467-4303
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL066680700Medicaid
FL47040OtherBCBS OF FLORIDA
FLCM8197OtherRAILROAD MEDICARE
FL0662450001Medicare NSC
FL47040OtherBCBS OF FLORIDA