Provider Demographics
NPI:1801351093
Name:ESPINOZA, FRANCISCO ARTURO (PA)
Entity type:Individual
Prefix:
First Name:FRANCISCO
Middle Name:ARTURO
Last Name:ESPINOZA
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3363 SIDERWHEEL DR
Mailing Address - Street 2:
Mailing Address - City:ROCKLEDGE
Mailing Address - State:FL
Mailing Address - Zip Code:32955-6027
Mailing Address - Country:US
Mailing Address - Phone:321-961-0764
Mailing Address - Fax:
Practice Address - Street 1:3363 SIDERWHEEL DR
Practice Address - Street 2:
Practice Address - City:ROCKLEDGE
Practice Address - State:FL
Practice Address - Zip Code:32955-6027
Practice Address - Country:US
Practice Address - Phone:321-961-0764
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9111926363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty