Provider Demographics
NPI:1205347705
Name:TRIMINO ESPINOSA, ABEL (APRN)
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:
Last Name:TRIMINO ESPINOSA
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1432 RIVERBOAT DR
Mailing Address - Street 2:
Mailing Address - City:KINDRED
Mailing Address - State:FL
Mailing Address - Zip Code:34744-6188
Mailing Address - Country:US
Mailing Address - Phone:786-486-1129
Mailing Address - Fax:
Practice Address - Street 1:7200 CURRY FORD RD
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-5806
Practice Address - Country:US
Practice Address - Phone:407-842-8283
Practice Address - Fax:786-513-3731
Is Sole Proprietor?:No
Enumeration Date:2017-10-24
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9372130363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL1205347705OtherNPI