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Individual
JOHN A. SPENCE
Active
Individual
JOHN A. SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M. D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
84174
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13614
BLUECROSS BLUESHIELD FLORIDA
FL
05
—
264600500
—
FL
01
—
E8248Z
MEDICARE PTAN
FL
01
—
P00025788
MEDICARE RAILROAD
—
Enumeration date
06/05/2006
Last updated
11/22/2022
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