Individual
MR. MICHAEL STEWART SPICER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7960 N WICKHAM RD STE 103, VIERA, FL 32940-8096
(321) 428-4737
(321) 567-7542
Mailing address
8057 SPYGLASS HILL RD, VIERA, FL 32940-8565
(321) 428-4737
(321) 567-7542
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME82521
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70015967
RR MEDICARE
FL
Enumeration date
12/30/2005
Last updated
12/17/2020
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