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Individual

MR. GREGORY J SPIRAKIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
AUD CCC A

Contact information

Practice address
710 E BELLA VISTA ST, LAKELAND, FL 33805
(863) 686-3189
(863) 682-1348
Mailing address
710 E BELLA VISTA ST, LAKELAND, FL 33805
(863) 686-3189
(863) 682-1348

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AY345
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
06584
HEAR USA
FL
01
115577
AMERIGROUP
FL
01
11981901
CITRUS HEALTHCARE
FL
01
51716
BLUE CROSS BLUE SHIELD
FL
Enumeration date
07/07/2006
Last updated
07/08/2007
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