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Organization
SPAULDING MEDICAL INC
Active
Organization
SPAULDING MEDICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JODI SPAULDING ARNP (PRESIDENT)
(305) 790-3108
Entity
Organization
Contact information
Practice address
16901 SW 76TH AVE, PALMETTO BAY, FL 33157-4802
(305) 790-3108
Mailing address
16901 SW 76TH AVE, PALMETTO BAY, FL 33157-4802
(305) 790-3108
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP2810642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ARNP2810642
ARNP LICENSE
FL
Enumeration date
10/01/2010
Last updated
10/01/2010
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