Individual
DR. ANGELO PETER SPOTO JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2515 HOLLINGSWORTH HILL AVE, LAKELAND, FL 33803-3236
(863) 686-2046
Mailing address
2515 HOLLINGSWORTH HILL AVE, LAKELAND, FL 33803-3236
(863) 686-2046
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
ME7737
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5500000029621592
DCN
—
01
—
ME7737
FL LISCENSE
FL
Enumeration date
09/29/2011
Last updated
09/29/2011
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