Spencer, Angela S

Spencer, Angela S is an individual health care provider with primary practice located at 2100 N Wickham Rd , Melbourne FL 32935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Spencer, Angela S can be contacted via phone (321) 752-7100.

Contact Information

Primary practice address
2100 N Wickham Rd Melbourne FL 32935
Phone: (321) 752-7100
Fax: (321) 752-7105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME0093302 Florida

Profile Details

NPI number 1063476430
LBN Legal business name Spencer, Angela S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Dec 21st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063476430 NPPES
Florida Other P00382941 RR MEDICARE
Florida Other NC002 RR MEDICARE
Florida MEDICAID 023440400 RR MEDICARE
Florida Other 16273 RR MEDICARE
Florida MEDICAID 272830300 RR MEDICARE

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