Individual
JUAN MANUEL ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
350 N PINE ISLAND RD STE 200, PLANTATION, FL 33324-1849
(195) 442-4432
Mailing address
4780 SW 64TH AVE STE 103, DAVIE, FL 33314-4400
(954) 434-1705
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
H8024
TX
207RI0011X
Interventional Cardiology Physician
H8024
TX
207RI0011X
Interventional Cardiology Physician
Primary
ME161817
FL
207UN0901X
Nuclear Cardiology Physician
H8024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128468910
—
TX
Enumeration date
06/30/2005
Last updated
07/05/2023
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