Spertus, Alan David

Spertus, Alan David is an individual health care provider with primary practice located at 345 Clyde Morris Blvd Suite 330, Ormond Beach FL 32174-3111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Spertus, Alan David can be contacted via phone (386) 672-4244.

Contact Information

Primary practice address
345 Clyde Morris Blvd Suite 330 Ormond Beach FL 32174-3111
Phone: (386) 672-4244
Fax: (386) 672-0603
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X ME0050491 Florida

Profile Details

NPI number 1942251616
LBN Legal business name Spertus, Alan David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Jun 7th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942251616 NPPES
Florida Other 2150833 AETNA
Florida MEDICAID 045843100 AETNA
Florida Other 18778423210 AETNA

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