Spandau, Craig
Spandau, Craig is an sole proprietor health care provider with primary practice located at 2020 Town Center Blvd Ste D , Brandon FL 33511-2906. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Spandau, Craig can be contacted via phone (813) 973-8400.Contact Information
Primary practice address
2020 Town Center Blvd Ste D
Brandon FL 33511-2906
Phone: (813) 973-8400
Fax: (813) 355-5077
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | AY2119 | Florida |
Profile Details
| NPI number | 1831619048 |
|---|---|
| LBN Legal business name | Spandau, Craig |
| Credentials | AUD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2017 |
| Last updated | Aug 23rd, 2017 - about 7 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 | 1831619048 | NPPES |
| Florida | MEDICAID | 021484200 |
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