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Individual
JACLYN SPIRTOS
Active
Individual
JACLYN SPIRTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT30877
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101257800
—
FL
01
—
KK298
MEDICARE
FL
01
—
VNCJ5
BLUE CROSS BLUE SHIELD
FL
Enumeration date
12/29/2014
Last updated
07/09/2019
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