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Individual

HORTENCIA H. ESPINO

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2315 PARK ST, JACKSONVILLE, FL 32204-4317
(904) 387-3124
(904) 387-3134
Mailing address
2315 PARK ST, JACKSONVILLE, FL 32204-4317
(904) 387-3124
(904) 387-3134

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME20631
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
16953
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/23/2005
Last updated
07/08/2007
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