Individual
JADE SPAGNUOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1679 NW SAINT LUCIE WEST BLVD, PORT SAINT LUCIE, FL 34986-2106
(772) 224-3090
Mailing address
1022 TRINIDAD AVE, FORT PIERCE, FL 34982-4332
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
29191
FL
Other
Enumeration date
07/02/2024
Last updated
07/02/2024
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