Individual
RAFAEL ANTONIO ESPEJO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SW 1ST AVE, OCALA, FL 34471-6504
(352) 867-8311
(352) 867-1053
Mailing address
700 DOCTORS CT, LEESBURG, FL 34748-7314
(352) 547-3262
(352) 622-5771
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
225090-1
NY
207L00000X
Anesthesiology Physician
35082283
OH
207L00000X
Anesthesiology Physician
MD420149
PA
207L00000X
Anesthesiology Physician
Primary
ME119317
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1438749
HIGHMARK BLUE SHIELD INDV
PA
05
—
2360690
—
OH
01
—
ME119317
MEDICAL LICENSE
FL
Enumeration date
10/04/2005
Last updated
03/21/2019
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