Individual
MRS. SOPHIA H ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1139 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 685-7761
Mailing address
1139 NIKKI VIEW DR, BRANDON, FL 33511-4879
(813) 685-7761
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY1558
FL
231H00000X
Audiologist
AZ570
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AY1558
AY1558
FL
01
—
AZ570
AZ570
—
Enumeration date
04/23/2009
Last updated
09/12/2011
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