Organization
JOSEPH G SPANO MD PA
Active
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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