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Individual

DAN R SPEARMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2140 SMITH ST, ORANGE PARK, FL 32073-5554
(904) 269-2145
(904) 278-5038
Mailing address
PO BOX 45443, SALT LAKE CITY, UT 84145-0443
(904) 202-1032
(904) 376-4107

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME20998
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0351113-00
FL
Enumeration date
02/09/2006
Last updated
12/21/2018
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