Escobales, Juan A

Escobales, Juan A is an individual health care provider with primary practice located at 2815 First Avenue North , St Petersburg FL 33713-8603. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Other Service Providers / Specialist. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is his primary health care specialty. Escobales, Juan A can be contacted via phone (727) 321-9614.

Contact Information

Primary practice address
2815 First Avenue North St Petersburg FL 33713-8603
Fax: (727) 323-7068
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X ME27676 Florida
Other Service Providers / Specialist 174400000X ME27676 Florida

Profile Details

NPI number 1275519480
LBN Legal business name Escobales, Juan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 20th, 2005
Last updated Aug 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275519480 NPPES
Florida MEDICAID 057369800

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