Individual
ROBERT C SPRECHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
807 CHILDRENS WAY, NEMOURS CHILDRENS CLINIC, JACKSONVILLE, JACKSONVILLE, FL 32207-8426
(904) 697-3694
(904) 697-3927
Mailing address
P.O. BOX 5720, PROVIDER ENROLLMENT DEPARTMENT, JACKSONVILLE, FL 32247-5720
(407) 650-7129
(407) 650-7578
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
35-069095
OH
207YP0228X
Pediatric Otolaryngology Physician
Primary
ME111289
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000206511
UNISON
OH
01
—
000000132426
ANTHEM
OH
01
—
000000506212
ANTHEM
OH
05
—
0019465310002
—
PA
05
—
0231556
—
OH
01
—
364038
WELLCARE
OH
01
—
5741197
AETNA
OH
01
—
733289
BUCKEYE
OH
Enumeration date
07/20/2006
Last updated
03/15/2012
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