Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN1001X | Nutrition | CH8470 | FL |
NPI | 1336240787 |
---|---|
Provider Name | Dr. George E Springer JR. |
First Address | Clearwater, FL 33756-5326 |
Second Address | Clearwater, FL 33756-5326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/09/2006 |
Last Update Date | 08/07/2007 |