Spadafora, Joseph William

Spadafora, Joseph William is an individual health care provider with primary practice located at 21275 Olean Blvd , Port Charlotte FL 33952-6704. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Spadafora, Joseph William can be contacted via phone (941) 625-1325.

Contact Information

Primary practice address
21275 Olean Blvd Port Charlotte FL 33952-6704
Phone: (941) 625-1325
Fax: (941) 625-0131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X OS4567 Florida

Profile Details

NPI number 1447258256
LBN Legal business name Spadafora, Joseph William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2005
Last updated Oct 4th, 2011 - about 14 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 1447258256 NPPES
Florida MEDICAID 39680000
Florida Other 80101Z

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