Escobar, Vanessa
Escobar, Vanessa is an sole proprietor health care provider with primary practice located at 18923 State Road 54 , Lutz FL 33558-5268. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Escobar, Vanessa can be contacted via phone (813) 803-7150.Contact Information
Primary practice address
18923 State Road 54
Lutz FL 33558-5268
Phone: (813) 803-7150
Fax: (813) 803-7167
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ME125246 | Florida |
Profile Details
| NPI number | 1578858577 |
|---|---|
| LBN Legal business name | Escobar, Vanessa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2011 |
| Last updated | Dec 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578858577 | NPPES |
| Florida | Other | II697Z | PTAN |
| Florida | MEDICAID | 015680400 | PTAN |
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