Individual
ALYSEN SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 BRUCE B DOWNS BLVD BLDG MDC 5, TAMPA, FL 33612-4742
(813) 974-0347
Mailing address
12901 BRUCE B DOWNS BLVD # BLVD5, TAMPA, FL 33612-4742
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006767
VA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/26/2019
Last updated
08/01/2023
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