Individual
IRA SPINNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
10075 JOG RD, STE 208, BOYNTON BEACH, FL 33437-3536
(561) 734-4867
(561) 736-7433
Mailing address
10075 JOG RD, STE 208, BOYNTON BEACH, FL 33437-3535
(561) 734-4867
(561) 736-7433
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
PO2393
FL
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO2393
FL
213ES0131X
Foot Surgery Podiatrist
PO2393
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390148300
—
FL
01
—
65312
BLUE CROSS BLUE SHIELD
FL
Enumeration date
08/18/2006
Last updated
11/17/2009
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