Individual
DR. JUAN B ESPINOSA PACC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
17501 BISCAYNE BLVD, SUITE 340, AVENTURA, FL 33160-4802
(305) 935-3344
(305) 935-3955
Mailing address
17501 BISCAYNE BLVD, SUITE 340, AVENTURA, FL 33160-4802
(305) 935-3344
(305) 935-3955
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME0027377
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
037528400
—
FL
01
—
P00002544
RAIL ROAD MEDICARE
—
Enumeration date
07/28/2005
Last updated
09/06/2012
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