Individual
CARL SPIRAZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10151 ENTERPRISE CTR BLVD, SUITE 106, BOYNTON BEACH, FL 33437-3760
(561) 734-7400
(561) 734-7448
Mailing address
10151 ENTERPRISE CTR BLVD, SUITE 106, BOYNTON BEACH, FL 33437-3760
(561) 734-7400
(561) 734-7448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS0005160
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047393600
—
FL
01
—
205522
AVMED
FL
01
—
230482
AMERIGROUP
FL
01
—
33803A
MEDICARE GROUP PIN
FL
01
—
80005
BLUE CROSS BLUE SHIELD OF FLA
FL
01
—
P00439656
RAILROAD MEDICARE
FL
Enumeration date
10/13/2006
Last updated
02/04/2016
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