Individual
THOMAS N SPACKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
24521
MN
207L00000X
Anesthesiology Physician
Primary
ME73508
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000699600
—
FL
05
—
749514500
—
MN
Enumeration date
01/20/2006
Last updated
03/29/2013
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