Individual
ADAM LEO SPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 N LAKEMONT AVE, WINTER PARK, FL 32792-3273
(407) 646-7812
Mailing address
200 N LAKEMONT AVE, WINTER PARK, FL 32792-3273
(407) 646-7812
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4301505102
MI
207R00000X
Internal Medicine Physician
Primary
ME161277
FL
208M00000X
Hospitalist Physician
4301505102
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417223157
—
MI
Enumeration date
03/27/2012
Last updated
06/01/2023
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