Speyerer, David K

Speyerer, David K is an sole proprietor health care provider with primary practice located at 635 1St St N , Winter Haven FL 33881-4129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Speyerer, David K can be contacted via phone (863) 294-0670.

Contact Information

Primary practice address
635 1St St N Winter Haven FL 33881-4129
Fax: (863) 298-3200
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X ME54224 Florida

Profile Details

NPI number 1336118686
LBN Legal business name Speyerer, David K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2006
Last updated Jun 12th, 2024 - about 3 months 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 1336118686 NPPES
Florida Other 010045982 MEDICARE ID/ RRM PIN
Florida MEDICAID 062027100 MEDICARE ID/ RRM PIN

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