Individual
CHARLY ESCOBAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
15955 SW 96TH ST STE 102, MIAMI, FL 33196-1272
(305) 271-9777
(786) 533-9383
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(305) 271-9777
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11017466
FL
Other
Enumeration date
01/20/2022
Last updated
08/11/2022
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