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Individual

DR. ERIC M SPIVACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
21110 BISCAYNE BLVD, STE 208, AVENTURA, FL 33180-1251
(305) 692-9299
(305) 692-8668
Mailing address
21110 BISCAYNE BLVD, STE 208, AVENTURA, FL 33180
(305) 692-9299
(888) 243-6962

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
ME 50897
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
047753200
FL
Enumeration date
01/05/2007
Last updated
01/02/2014
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