Individual
DIEGO ESPAILLAT PRESTOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2001 VAIL AVE, CHARLOTTE, NC 28207-1248
(704) 304-5000
Mailing address
6135 PARK SOUTH DR STE 510, CHARLOTTE, NC 28210-0100
(704) 749-3116
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2023-02456
NC
207LP2900X
Pain Medicine (Anesthesiology) Physician
ME128770
FL
207R00000X
Internal Medicine Physician
ME128770
FL
Other
Enumeration date
12/03/2007
Last updated
09/19/2024
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