Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Y00000X | Otolaryngologist (ENT Doctor) | 35-069095 | OH |
Y | 207YP0228X | Pediatric Otolaryngology | ME111289 | FL |
NPI | 1033139480 |
---|---|
Provider Name | Robert C Sprecher |
First Address | Jacksonville, FL 32247-5720 |
Second Address | Jacksonville, FL 32207-8426 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 15/03/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0000000206511 | UNISON (01) | OH |
000000132426 | ANTHEM (01) | OH |
000000506212 | ANTHEM (01) | OH |
0019465310002 | (05) | PA |
0231556 | (05) | OH |
364038 | WELLCARE (01) | OH |
5741197 | AETNA (01) | OH |
733289 | BUCKEYE (01) | OH |
G23669 | (02) | OH |