Individual provider · NPI-1

Dr. Luis Alcides Escobar, MD

· Hollywood, FL

NPI number1831185602
StatusActive
Last updated in NPPESJun 21, 2024

Details

NPI
1831185602
Entity type
Individual (NPI-1)
Name
Dr. Luis Alcides Escobar
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Sep 27, 2005
Certification date
Dec 7, 2021
Last updated
Jun 21, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208VP0000X ME58000FLYes
174400000X Specialistme58000FL

Practice location

4350 Sheridan St Ste 102
Hollywood, FL 33021-3556

Phone 954-322-8586 · Fax 954-322-8581

Mailing address

3510 Ne 23rd Ave
Lighthouse Point, FL 33064-8129

Phone 954-322-8586 · Fax 954-322-8581

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