Individual
BRIAN J SPRENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(385) 325-1086
Mailing address
1302 RIVER ST, PALATKA, FL 32177-5042
(386) 328-8371
(385) 325-1086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
ARNP1924742
FL
363L00000X
Nurse Practitioner
ARNP1924742
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP1924742
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033378600
—
FL
01
—
190182
HEALTHEASE
FL
01
—
500000267
RR MEDICARE
FL
01
—
Z9122
NETWORK BLUE PPS
FL
Enumeration date
12/14/2005
Last updated
05/29/2008
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