Individual
DR. BRIAN SPECTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
133 BENMORE DR, STE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Mailing address
133 BENMORE DR, STE 100, WINTER PARK, FL 32792-4143
(407) 644-4883
(407) 644-3697
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
ME82838
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01112087
AMERIGROUP
—
01
—
01905
BLUE CROSS
—
01
—
040016274
RR MEDICARE
—
01
—
040016275
RR MEDICARE
—
01
—
040016276
RR MEDICARE
—
05
—
262849000
—
FL
01
—
ME82838
WORKER'S COMP
—
Enumeration date
05/31/2005
Last updated
12/27/2021
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