Individual
ANGELA S SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2100 N WICKHAM RD, MELBOURNE, FL 32935
(321) 752-7100
(321) 752-7105
Mailing address
2100 N WICKHAM RD, MELBOURNE, FL 32935-8110
(321) 752-7100
(321) 752-7105
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
ME0093302
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
023440400
—
FL
01
—
16273
BCBS
FL
05
—
272830300
—
FL
01
—
NC002
FL HF MEDICARE
FL
01
—
P00382941
RR MEDICARE
FL
Enumeration date
04/13/2006
Last updated
12/21/2020
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