# ANITA D SPITZ M D P A

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063655041
- **Authorized official:** MRS. CAROLE GEARIN SEAY (OFFICE MANAGER)
- **Authorized official phone:** (321) 383-0112

## Contact information

- **Practice address:** 500 NORTH WASHINGTON AVE., SUITE 103, TITUSVILLE, FL 32796-2759
- **Practice address phone:** (321) 383-0112
- **Practice address fax:** (321) 383-0229
- **Mailing address:** 500 NORTH WASHINGTON AVE., SUITE 103, TITUSVILLE, FL 32796-2759
- **Mailing address phone:** (321) 383-0112
- **Mailing address fax:** (321) 383-0229

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | ME58817 | FL | Yes |

## Other

- **Enumeration date:** 04/07/2009
- **Last updated:** 07/20/2010