Individual
CLAUS PETER SPIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1223 GATEWAY DR STE 2G, MELBOURNE, FL 32901-2607
(321) 549-0533
(321) 722-3843
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME79616
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259770500
—
FL
01
—
390006872
RR MEDICARE
FL
Enumeration date
12/13/2005
Last updated
10/31/2018
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