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Individual

DR. KATIE GILBERT SPEAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
770 US HIGHWAY 331 S, STE 1, DEFUNIAK SPRINGS, FL 32435-3307
(850) 207-2080
Mailing address
36 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4915
(850) 243-3111
(850) 200-4373

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3920
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
112297000
FL
01
68122
BCBS OF FL
FL
Enumeration date
08/31/2005
Last updated
07/05/2022
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