Individual
ANDREW GRAYSON SPELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605-4201
(352) 331-9729
(612) 294-4903
Mailing address
6716 NW 11TH PL STE 200, GAINESVILLE, FL 32605-4201
(352) 331-9729
(352) 331-0136
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
ME93541
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19Y3W
BCBS
FL
05
—
2778106-00
—
FL
Enumeration date
05/25/2006
Last updated
04/13/2022
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