Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CH7454 | FL |
NPI | 1013076876 |
---|---|
Provider Name | Dr. Gary Spanier |
First Address | Hollywood, FL 33021-2927 |
Second Address | Pembroke Pines, FL 33026-5207 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/12/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U92195 | (02) | FL |