Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | 0102203193 | VA |
NPI | 1023303583 |
---|---|
Provider Name | Dr. Erin Rae Spadaro Hamersley |
First Address | Jacksonville, FL 32212 |
Second Address | Jacksonville, FL 32212 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2011 |
Last Update Date | 17/03/2018 |