Individual
RYAN F ESTEVEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3515 E FLETCHER AVE, MDC 14, TAMPA, FL 33613-4702
(813) 974-8900
(813) 974-3223
Mailing address
P.O. BOX 917770, ORLANDO, FL 32389-7770
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME103448
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003659200
—
FL
01
—
14F16
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/20/2006
Last updated
03/17/2018
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