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Organization

KIDSEYEDR, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NEHEMIAH SPENCER M.D. (OWNER)
(772) 249-1038
Entity
Organization

Contact information

Practice address
915 SE OCEAN BLVD STE 4, STUART, FL 34994-2426
(772) 249-1038
Mailing address
915 SE OCEAN BLVD STE 4, STUART, FL 34994-2426
(772) 249-1038

Taxonomy

Speciality
Code
Description
License number
State
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001380900
FL
Enumeration date
02/17/2017
Last updated
08/27/2019
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