Provider Demographics
NPI:1790595486
Name:ESPINAL, MARIA CAMILA (DC)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:CAMILA
Last Name:ESPINAL
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3203 PRAIRIE IRIS DR
Mailing Address - Street 2:
Mailing Address - City:LAND O LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34638-7983
Mailing Address - Country:US
Mailing Address - Phone:813-405-5213
Mailing Address - Fax:
Practice Address - Street 1:13777 BELCHER RD S STE 300
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:FL
Practice Address - Zip Code:33771-4027
Practice Address - Country:US
Practice Address - Phone:727-216-3170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-13
Last Update Date:2025-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH15303111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor