Individual
DR. MITCHELL E SPERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY D
Contact information
Practice address
350 NW 70TH AVE, STE A, PLANTATION, FL 33317-2349
(954) 587-7520
(954) 587-7527
Mailing address
350 NW 70TH AVE, STE A, PLANTATION, FL 33317-2349
(954) 587-7520
(954) 587-7527
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PYH4098
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
73376
BCBS
FL
Enumeration date
11/08/2005
Last updated
08/20/2007
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