Spain, Gregory C
Spain, Gregory C is an sole proprietor health care provider with primary practice located at 11323 Reflection Isles Blvd , Fort Myers FL 33912. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Spain, Gregory C can be contacted via phone (239) 919-6896.Contact Information
Primary practice address
11323 Reflection Isles Blvd
Fort Myers FL 33912
Phone: (239) 919-6896
Fax: (239) 219-6158
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | PO3323 | Florida |
Profile Details
NPI number | 1942378724 |
---|---|
LBN Legal business name | Spain, Gregory C |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 1st, 2006 |
Last updated | Oct 21st, 2019 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942378724 | NPPES |
Pennsylvania | Other | 413476 | BLUE SHIELD |
Pennsylvania | Other | 302558 | BLUE SHIELD |
Pennsylvania | Other | 2082528 | BLUE SHIELD |
Pennsylvania | MEDICAID | 004057100 | BLUE SHIELD |
Pennsylvania | Other | 3014221 | BLUE SHIELD |
Popular Providers
-
Sadri, Soorena
4956 Royal Gulf Cir , Fort Myers FL 33966-7006 -
Thetford, William Hamilton
2540 Winkler Ave , Fort Myers FL 33901-9338 -
Bozof, Hal Leslie
2540 Winkler Ave Ste 2, Fort Myers FL 33901-9338 -
Walimire, Peter Brian
13782 Plantation Rd Ste 103 , Fort Myers FL 33912-4462 -
Gavin, David Nicholas
15620 Mcgregor Blvd., Suite 125 , Fort Myers FL 33908-2528 -
Trathen, Eric Stephen
12630 World Plaza Ln Suite 70, Fort Myers FL 33907-3987 -
Simmons, Chad Franklin
5238 Mason Corbin Ct Suite 102, Fort Myers FL 33907-7738 -
Black, Michael Robert
12670 Creekside Ln , Fort Myers FL 33919-3370