Individual
JANE M SPIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1771
(321) 434-1775
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
(321) 434-1771
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME75999
FL
208M00000X
Hospitalist Physician
Primary
ME75999
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110215645
RR MEDICARE
FL
05
—
260174500
—
FL
01
—
51762
BCBS
FL
01
—
ID635Z
FL MEDICARE
FL
Enumeration date
12/13/2005
Last updated
10/13/2023
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