Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 43528 | FL |
N | 207VG0400X | Gynecologist | ME43528 | FL |
NPI | 1053310003 |
---|---|
Provider Name | Dr. Ronald P Spencer |
First Address | Ocala, FL 34474-8489 |
Second Address | Ocala, FL 34474-8489 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2005 |
Last Update Date | 14/02/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
068361200 | (05) | FL |
D56691 | (02) | FL |