Individual
SPENCER MORELAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 273-7986
Mailing address
PO BOX 100243, GAINESVILLE, FL 32610-0243
(352) 273-7986
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME167241
FL
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
ME167241
FL
208600000X
Surgery Physician
ME137477
FL
208600000X
Surgery Physician
TRN24349
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122911300
—
FL
Enumeration date
04/09/2017
Last updated
09/19/2024
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