Individual
ERIC SPEARS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 N FERDON BLVD, CRESTVIEW, FL 32536-2157
(850) 682-5354
(850) 682-5354
Mailing address
840 N FERDON BLVD, CRESTVIEW, FL 32536-2157
(850) 682-5354
(850) 682-5354
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
JB133879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
691206100
—
FL
Enumeration date
03/12/2014
Last updated
03/12/2014
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