Individual
DR. JUSTIN KUHNS SPOONER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 CANAL BLVD STE 2, PONTE VEDRA BEACH, FL 32082-3745
(904) 280-6701
(904) 280-6702
Mailing address
230 CANAL BLVD STE 2, PONTE VEDRA BEACH, FL 32082-3745
(904) 280-6701
(904) 280-6702
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
ME115625
FL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
ME115625
FL
208VP0014X
Interventional Pain Medicine Physician
ME115625
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0086324100
—
FL
01
—
HG956
MEDICARE
FL
Enumeration date
11/21/2007
Last updated
03/07/2023
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