Individual
LEONARD JOEL SPILLERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4217 BAYMEADOWS RD, SUITE 3, JACKSONVILLE, FL 32217-4676
(904) 332-7431
(904) 332-7408
Mailing address
4217 BAYMEADOWS RD, SUITE 3, JACKSONVILLE, FL 32217-4676
(904) 332-7431
(904) 332-7408
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME17473
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71614
BCBS
FL
Enumeration date
03/21/2006
Last updated
09/05/2013
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