Provider Demographics
NPI:1548421894
Name:ESPINAL, CAROL MADLYN (MD)
Entity type:Individual
Prefix:DR
First Name:CAROL
Middle Name:MADLYN
Last Name:ESPINAL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6101 BLUE LAGOON DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33126-3168
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:12402 S ORANGE BLOSSOM TRL STE 6
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32837-6539
Practice Address - Country:US
Practice Address - Phone:407-541-0114
Practice Address - Fax:855-592-1942
Is Sole Proprietor?:No
Enumeration Date:2008-06-19
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME113725207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL006618200Medicaid
FL006618200Medicaid