Spain, Adam Leo

Spain, Adam Leo is an individual health care provider with primary practice located at 200 N Lakemont Ave , Winter Park FL 32792-3273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Spain, Adam Leo can be contacted via phone (407) 646-7812.

Contact Information

Primary practice address
200 N Lakemont Ave Winter Park FL 32792-3273
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301505102 Michigan
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 4301505102 Michigan
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME161277 Florida

Profile Details

NPI number 1417223157
LBN Legal business name Spain, Adam Leo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2012
Last updated Jun 1st, 2023 - about last year

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 1417223157 NPPES
Michigan MEDICAID 1417223157

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