Sparkman, Gary M
Sparkman, Gary M is an individual health care provider with primary practice located at 3450 11Th Ct Ste 105 , Vero Beach FL 32960. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Sparkman, Gary M can be contacted via phone (772) 563-4580.Contact Information
Primary practice address
3450 11Th Ct Ste 105
Vero Beach FL 32960
Phone: (772) 563-4580
Fax: (772) 563-4690
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA1886 | Florida |
Profile Details
NPI number | 1346258076 |
---|---|
LBN Legal business name | Sparkman, Gary M |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 5th, 2006 |
Last updated | Aug 6th, 2018 - about 6 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 | 1346258076 | NPPES |
Florida | MEDICAID | 292537100 |
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