| David Eschelbacher Md Pl | |
|
2812 N 22nd St Tampa FL 33605-2762 | |
| (813) 374-2494 | |
| (813) 374-2495 |
| Full Name | David Eschelbacher Md Pl |
|---|---|
| Speciality | Internal Medicine |
| Location | 2812 N 22nd St, Tampa, Florida |
| Authorized Official Name and Position | David J. Eschelbacher (OWNER/CEO) |
| Authorized Official Contact | 8133742494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David Eschelbacher Md Pl Po Box 9155 Tampa FL 33674-9155 Ph: (813) 957-2465 | David Eschelbacher Md Pl 2812 N 22nd St Tampa FL 33605-2762 Ph: (813) 374-2494 |
| NPI Number | 1992959589 |
|---|---|
| Provider Enumeration Date | 11/09/2008 |
| Last Update Date | 04/26/2018 |
| Medicare PECOS PAC ID | 7113089574 |
|---|---|
| Medicare Enrollment ID | O20081218000214 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992959589 | NPI | - | NPPES |
| DO6871 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME89859 (Florida) | Primary |
| Provider Name | David Joseph Eschelbacher |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285699645 PECOS PAC ID: 9335113224 Enrollment ID: I20040825001073 |
| Provider Name | Edith Alido |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023118874 PECOS PAC ID: 8820162258 Enrollment ID: I20080804000373 |
| Provider Name | Ellisa P Mills |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316198807 PECOS PAC ID: 0941367106 Enrollment ID: I20090316000474 |
| Provider Name | Migdalia Ortiz Iovino |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457680191 PECOS PAC ID: 9133305808 Enrollment ID: I20160128001812 |
| Provider Name | Lakisha Caressa Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750731840 PECOS PAC ID: 1951689074 Enrollment ID: I20161025001074 |
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