NPI 1013315126

Jairo Estrada

Practitioner Health Maintenance Organization Tarpon Springs, FL

Practice location

Address: 1137 Lancer Ln, Tarpon Springs, FL 34689-8034
Phone: (727) 657-5194

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X Licence PTA22596 (FL)

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Registry record

NPI: 1013315126
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Dec 2014
Record last updated: 6 Dec 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.