Individual
SOLANY ESPINAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6921 SW 16TH ST, PEMBROKE PINES, FL 33023-2025
(754) 301-9155
Mailing address
6921 SW 16TH ST, PEMBROKE PINES, FL 33023-2025
(754) 301-9155
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
E215797975830
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
VMAH18702722
FLORIDA BLUE HMO
FL
Enumeration date
02/28/2017
Last updated
02/28/2017
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