Individual
DR. CLIFFORD H SPOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14208 MANDARIN RD, JACKSONVILLE, FL 32223-2548
(904) 545-7940
Mailing address
14208 MANDARIN RD, JACKSONVILLE, FL 32223-2548
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
ME31662
FL
2085N0700X
Neuroradiology Physician
ME31662
FL
2085N0904X
Nuclear Radiology Physician
ME31662
FL
2085P0229X
Pediatric Radiology Physician
ME31662
FL
2085R0202X
Diagnostic Radiology Physician
Primary
ME31662
FL
2085R0204X
Vascular & Interventional Radiology Physician
ME31662
FL
2085U0001X
Diagnostic Ultrasound Physician
ME31662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00356287A
—
GA
05
—
047722200
—
FL
01
—
15430
BLUE CROSS BLUE SHIELD
FL
01
—
300012
PHCS
FL
Enumeration date
03/09/2006
Last updated
05/01/2015
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