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Organization

JOSEPH G SPANO MD PA

Active
Parent organization
JOSEPH G SPANO MD PA
Organization subpart
Yes

Provider details

NPI number
Legal business name
JOSEPH G SPANO MD PA
Authorized official
DR. JOSEPH G SPANO M.D. (MD)
(239) 263-4470
Entity
Organization

Contact information

Practice address
130 TAMIAMI TRL N, SUITE 130, NAPLES, FL 34102-6224
(239) 263-4470
(239) 403-1655
Mailing address
130 TAMIAMI TRL N, SUITE 130, NAPLES, FL 34102-6224
(239) 263-4470
(239) 403-1655

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME15497
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
048570500
FL
01
1982892857
RAILROAD MEDICARE
FL
01
490004079
RAILROAD MEDICARE
FL
Enumeration date
10/04/2007
Last updated
08/13/2008
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