Spence, Steven Walter

Spence, Steven Walter is an individual health care provider with primary practice located at 4318 5Th Ave , Marianna FL 32446-2182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Spence, Steven Walter can be contacted via phone (850) 526-5300.

Contact Information

Primary practice address
4318 5Th Ave Marianna FL 32446-2182
Phone: (850) 526-5300
Fax: (850) 482-5021
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X FLME0079376 Florida

Profile Details

NPI number 1528056223
LBN Legal business name Spence, Steven Walter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2005
Last updated Mar 7th, 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 1528056223 NPPES
Florida Other FLME0079376 FL STATE LICENSE NUMBER
Florida Other 110227528 FL STATE LICENSE NUMBER
Florida MEDICAID 261373500 FL STATE LICENSE NUMBER
Florida Other 58845 FL STATE LICENSE NUMBER

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