Individual
MARYALICE SPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(315) 406-1761
Mailing address
2080 CHILD ST, JACKSONVILLE, FL 32214-5005
(315) 406-1761
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME165746
FL
Other
Enumeration date
04/13/2020
Last updated
07/25/2024
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