Individual
DANIEL PATRICK SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 303-5600
Mailing address
2372 MISTY WAY LN, MELBOURNE, FL 32935-1457
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9115047
FL
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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