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Individual

SPENCER MICHAEL THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1000 WATERMAN WAY, TAVARES, FL 32778-5266
(352) 253-3333
Mailing address
PO BOX 398, TANGERINE, FL 32777-0398

Taxonomy

Speciality
Code
Description
License number
State
146N00000X
Basic Emergency Medical Technician
580278
FL
163W00000X
Registered Nurse
Primary
9696220
FL

Other

Enumeration date
10/16/2025
Last updated
10/16/2025
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