Individual
ALBERTO ESCANIO LLERENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
575 LIVE OAK AVE W APT 6106, HAINES CITY, FL 33844-5092
(863) 399-3654
Mailing address
575 LIVE OAK AVE W APT 6106, HAINES CITY, FL 33844-5092
(863) 399-3654
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
E254-000-72-163-0
FL
Other
Enumeration date
08/16/2024
Last updated
08/16/2024
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