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Individual

DR. LOUISE RUTH SPIERRE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D

Contact information

Practice address
6271 ST. AUGUSTINE ROAD, UFJP PEDIATRIC AND ADOLESCENT CENTER, JACKSONVILLE, FL 32207
(904) 633-0460
(904) 633-0461
Mailing address
PO BOX 44008, UFJP PEDIATRIC DEPARTMENT, JACKSONVILLE, FL 32231-4008

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
ME96886
FL
2081P0010X
Pediatric Rehabilitation Medicine Physician
ME96886
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277592100
FL
01
P00385496
RR MEDICARE
FL
Enumeration date
06/11/2006
Last updated
05/14/2009
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