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Organization

ADVENT ORTHOPEDICS AND NEUROSURGERY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LISA SPANGLER (PRACTICE MANAGER)
(727) 209-6572
Entity
Organization

Contact information

Practice address
4820 PARK BLVD N, PINELLAS PARK, FL 33781-3534
(727) 544-0320
(727) 209-6693
Mailing address
4820 PARK BLVD N, PINELLAS PARK, FL 33781-3534
(727) 209-6572
(727) 209-6685

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
207X00000X
Orthopaedic Surgery Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
003WZ
BLUE SHIELD OF FLORIDA
FL
05
009163500
FL
01
615318900
US DEPT OF LABOR
01
8885314
AETNA
FL
01
DS2394
RAILROAD MEDICARE
Enumeration date
03/15/2010
Last updated
03/19/2016
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