Individual
HALLIE SPICER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 MEDICAL PLAZA DR, LEESBURG, FL 34748-7313
(352) 630-6250
(352) 630-6251
Mailing address
PO BOX 112727, GAINESVILLE, FL 32611-2727
(352) 273-7002
(352) 273-7388
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
027790-01
NY
363A00000X
Physician Assistant
Primary
PA9115267
FL
Other
Enumeration date
01/03/2022
Last updated
01/18/2022
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