Spooner, Bryan A

Spooner, Bryan A is an individual health care provider with primary practice located at 1866 Buford Blvd , Tallahassee FL 32308. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Spooner, Bryan A can be contacted via phone (850) 878-6998.

Contact Information

Primary practice address
1866 Buford Blvd Tallahassee FL 32308
Phone: (850) 878-6998
Fax: (850) 656-9293
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X P02786 Florida

Profile Details

NPI number 1245294933
LBN Legal business name Spooner, Bryan A
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Jan 14th, 2015 - about 10 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 1245294933 NPPES
Florida MEDICAID 390495400

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