Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RX0202X | Medical Oncology | ME45443 | FL |
NPI | 1134125214 |
---|---|
Provider Name | Daniel Lewis Spitz |
First Address | Fort Myers, FL 33916-2216 |
Second Address | West Palm Beach, FL 33401-3406 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2005 |
Last Update Date | 26/05/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
062603100 | (05) | FL |
D82317 | (02) | FL |