Organization
LESCOBAR PA
Active
Other names
PAIN CARE SPECIALIST OF FLORIDA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LUIS ALCIDES ESCOBAR M.D. (PRESIDENT)
(954) 322-8586
Entity
Organization
Contact information
Practice address
4440 SHERIDAN ST, HOLLYWOOD, FL 33021-3535
(954) 322-8586
(954) 322-8581
Mailing address
3510 NE 23RD AVE, LIGHTHOUSE POINT, FL 33064-8129
(954) 322-8586
(954) 322-8581
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME58000
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12692
BCBS
FL
01
—
3481ASOS
NHP
FL
01
—
5059181
AETNA
FL
Enumeration date
05/08/2008
Last updated
06/11/2010
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