Individual
DR. TISHA L SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
(708) 327-9137
Mailing address
501 6TH AVE S, ST PETERSBURG, FL 33701-4634
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
036.147774
IL
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
148927
FL
Other
Enumeration date
04/11/2011
Last updated
04/10/2021
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