Individual
GARY KEVIN SPORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
311 9TH ST N STE 310, NAPLES, FL 34102-5889
(239) 624-8250
(239) 624-8251
Mailing address
311 9TH ST N STE 310, NAPLES, FL 34102-5889
(239) 624-8250
(239) 624-8251
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME 61415
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015644000
—
FL
01
—
28188
BCBS
FL
01
—
28188W
MEDICARE
FL
Enumeration date
05/08/2006
Last updated
07/21/2022
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