Provider Demographics
NPI:1952943912
Name:EMERGENCY INNOVATIVE SERVICES LLC
Entity Type:Organization
Organization Name:EMERGENCY INNOVATIVE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALFONSO
Authorized Official - Middle Name:
Authorized Official - Last Name:ESPINEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-313-5378
Mailing Address - Street 1:15121 SUNDIAL PL
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD RANCH
Mailing Address - State:FL
Mailing Address - Zip Code:34202-5902
Mailing Address - Country:US
Mailing Address - Phone:941-313-5378
Mailing Address - Fax:
Practice Address - Street 1:1804 59TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-4630
Practice Address - Country:US
Practice Address - Phone:941-313-5378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-10-11
Last Update Date:2019-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care