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Individual

JANICE SPEARS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3363 SW 49TH ST, FORT LAUDERDALE, FL 33312-7945
(954) 696-4274
Mailing address
3363 SW 49TH ST, FORT LAUDERDALE, FL 33312-7945
(954) 696-4274

Taxonomy

Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
46-3396625
FL
Enumeration date
02/08/2022
Last updated
02/08/2022
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