Individual
DR. KERRY ELIZABETH SPERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2329 MEDICO LN STE 101, MELBOURNE, FL 32940-8449
(321) 361-5565
(321) 434-9530
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 361-5565
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
OS14502
FL
207RP1001X
Pulmonary Disease Physician
Primary
OS14502
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022534200
—
FL
01
—
JD141Z
MEDICARE
FL
Enumeration date
05/25/2011
Last updated
03/14/2024
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