Individual
DR. JUSTIN MATTHEW SPORRER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8950 N KENDALL DR, SUITE 407W, MIAMI, FL 33176-2144
(305) 271-6159
(786) 533-9989
Mailing address
PO BOX 198054, ATLANTA, GA 30384-8054
(786) 596-3876
(786) 533-9989
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
11432
FL
207T00000X
Neurological Surgery Physician
Primary
ME108649
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008991600
—
FL
Enumeration date
07/25/2007
Last updated
07/20/2022
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