Charly Escobar, APRN
Nurse Practitioner in Miami, FL. Individual provider (NPI-1).
NPI number1629720719
StatusActive
Last updated in NPPESAug 11, 2022
Details
- NPI
- 1629720719
- Entity type
- Individual (NPI-1)
- Name
- Charly Escobar
- Credential
- APRN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2022
- Certification date
- Aug 11, 2022
- Last updated
- Aug 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | APRN11017466 | FL | Yes |
Other names
- Charly Escobar (Professional Name)
Practice location
15955 Sw 96th St Ste 102Miami, FL 33196-1272
Phone 305-271-9777 · Fax 786-533-9383
Mailing address
Po Box 198054Atlanta, GA 30384-8054
Phone 305-271-9777
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