Organization
JSPEELE, MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY S PEELE MD (PRESIDENT)
(407) 929-5611
Entity
Organization
Contact information
Practice address
7380 W SAND LAKE RD, SUITE 500, ORLANDO, FL 32819-5248
(407) 929-5611
(888) 253-9194
Mailing address
7380 W SAND LAKE RD, SUITE 500, ORLANDO, FL 32819-5248
(407) 929-5611
(888) 253-9194
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
ME61635
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
254676100
—
FL
01
—
43697
BC/BS
FL
Enumeration date
01/05/2013
Last updated
01/05/2013
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