Individual
PROF. WALDO OSCAR ESPARZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., C.P.
Contact information
Practice address
5109 N ARMENIA AVE, TAMPA, FL 33603-1405
(813) 801-9110
(813) 801-9048
Mailing address
5109 N ARMENIA AVE, TAMPA, FL 33603-1405
(813) 801-9110
(813) 801-9048
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
PRO 25
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
290808
STAYWELL
FL
01
—
7376145
AETNA EPDB PIN #
FL
01
—
R9100
BLUE CROSS BLUE SHIELD FL
FL
01
—
V516P-7063
VA VENDOR #
FL
Enumeration date
06/28/2006
Last updated
07/08/2007
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