Individual
DR. JEROME J. SPUNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10335 N MILITARY TRL, SUITE C, PALM BEACH GARDENS, FL 33410-4634
(561) 624-1717
(561) 296-4270
Mailing address
2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 33907-1412
(239) 931-7342
(239) 931-7385
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME 33705
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
040628700
—
FL
01
—
06724
WELLCARE
FL
01
—
204358
AVMED
FL
01
—
5557299
AETNA
FL
01
—
5719
DIMENSION HEALTH PPO
FL
01
—
61432
BCBS
FL
01
—
P01270
FREEDOM
FL
01
—
P01560966
RR MEDICARE
FL
01
—
P509193
OPTIMUM
FL
Enumeration date
06/30/2005
Last updated
10/20/2016
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