Individual
MS. JEANNIE M SPATARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 S CONGRESS AVE, SUITE 105, BOYNTON BEACH, FL 33426-5876
(561) 736-8060
Mailing address
1139 WIDGEON RD, WELLINGTON, FL 33414-5050
(772) 626-7120
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MA67378
FL
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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