Individual
IDA MARY SPEARS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
115 S OAK AVE, FORT MEADE, FL 33841-3527
(863) 519-7900
(863) 519-7696
Mailing address
1290 GOLFVIEW AVE, BARTOW, FL 33830-6738
(863) 519-7900
(863) 519-7696
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN524882
FL
Other
Enumeration date
02/10/2006
Last updated
07/08/2007
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