Escandon, Juan Carlos

Escandon, Juan Carlos is an individual health care provider with primary practice located at 111 Webb Dr , Davenport FL 33837-3962. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Escandon, Juan Carlos can be contacted via phone (863) 421-9447.

Contact Information

Primary practice address
111 Webb Dr Davenport FL 33837-3962
Phone: (863) 421-9447
Fax: (863) 421-1806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207QS1201X ME109282 Florida
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X ME109282 Florida

Profile Details

NPI number 1356567788
LBN Legal business name Escandon, Juan Carlos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated May 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356567788 NPPES
Florida Other ME109282 MEDICINE DOCTOR LIC

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