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Organization
FULL CIRCLE HEALTH CARE INC
Active
Organization
FULL CIRCLE HEALTH CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK SPENCE MD (MEDICAL DIRECTOR)
(305) 693-0000
Entity
Organization
Contact information
Practice address
1190 NW 95TH ST STE 203, MIAMI, FL 33150-2064
(305) 693-0000
(888) 717-7671
Mailing address
1190 NW 95TH ST STE 203, MIAMI, FL 33150-2064
(305) 693-0000
(888) 717-7671
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003574500
—
FL
01
—
14C1Y
BLUECROSS & BLUESHIELD
FL
01
—
174807
STAYWELL/WELLCARE
FL
01
—
1952313173
NPI
FL
05
—
255064400
—
FL
01
—
43740
BLUECROSS & BLUESHIELD
FL
Enumeration date
08/31/2011
Last updated
11/06/2021
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