# FULL CIRCLE HEALTH CARE INC

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

## Provider details

- **NPI number:** 1760763056
- **Authorized official:** MR. MARK SPENCE MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (305) 693-0000

## Contact information

- **Practice address:** 1190 NW 95TH ST STE 203, MIAMI, FL 33150-2064
- **Practice address phone:** (305) 693-0000
- **Practice address fax:** (888) 717-7671
- **Mailing address:** 1190 NW 95TH ST STE 203, MIAMI, FL 33150-2064
- **Mailing address phone:** (305) 693-0000
- **Mailing address fax:** (888) 717-7671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/31/2011
- **Last updated:** 11/06/2021

## 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 |