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Individual

DR. LUIS ALCIDES ESCOBAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4350 SHERIDAN ST STE 102, HOLLYWOOD, FL 33021-3556
(954) 322-8586
(954) 322-8581
Mailing address
3510 NE 23RD AVE, LIGHTHOUSE POINT, FL 33064-8129
(954) 322-8586
(954) 322-8581

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
ME58000
FL
208VP0000X
Pain Medicine Physician
Primary
ME58000
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
12692
BCBS
FL
Enumeration date
09/27/2005
Last updated
06/21/2024
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