Individual
DR. MARK A SPATOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2021 KINGSLEY AVE, STE 101, ORANGE PARK, FL 32073-5128
(904) 276-3376
(904) 276-5308
Mailing address
2021 KINGSLEY AVE, STE 101, ORANGE PARK, FL 32073-5128
(904) 276-3376
(904) 276-5308
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
ME0053729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049305800
—
FL
Enumeration date
05/23/2005
Last updated
09/03/2014
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