Individual
MR. SPENCER JAMES SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
400 SW 1ST AVE APT 1809, FORT LAUDERDALE, FL 33301-3491
(203) 218-8232
Mailing address
1340 S HILL ST APT 718, LOS ANGELES, CA 90015-3640
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN11043009
FL
363LA2100X
Acute Care Nurse Practitioner
APRN11043009
FL
363LA2200X
Adult Health Nurse Practitioner
APRN11043009
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN11043009
FL
363LP2300X
Primary Care Nurse Practitioner
APRN11043009
FL
Other
Enumeration date
12/24/2025
Last updated
12/24/2025
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