Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RI0200X | Infectious Disease | ME0058010 | FL |
NPI | 1033160718 |
---|---|
Provider Name | Vincent M Spoto |
First Address | Winter Park, FL 32789-5543 |
Second Address | Winter Park, FL 32789-5543 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2006 |
Last Update Date | 27/08/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
372209100 | (05) | FL |
F51281 | (02) | FL |