Individual
DR. JUAN A ESCOBALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2815 FIRST AVENUE NORTH, ST PETERSBURG, FL 33713-8603
(727) 321-9614
(727) 323-7068
Mailing address
2815 FIRST AVENUE NORTH, ST PETERSBURG, FL 33713-8603
(727) 321-9614
(727) 323-7068
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
ME27676
FL
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
ME27676
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057369800
—
FL
Enumeration date
12/20/2005
Last updated
08/13/2021
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