Individual
MR. JOHN WARREN SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RRT
Contact information
Practice address
1200 W FAIRBANKS AVE, ORLANDO, FL 32804-1206
(407) 298-8810
Mailing address
3553 VICTORIA MANOR LN APT 306, LAKELAND, FL 33805-3021
(407) 342-1359
Taxonomy
Speciality
Code
Description
License number
State
2279P3900X
Neonatal/Pediatric Registered Respiratory Therapist
Primary
RT10196
FL
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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