Spooner, Justin Lonn

Spooner, Justin Lonn is an individual health care provider with primary practice located at 621 Se Port St Lucie Blvd , Port Saint Lucie FL 34984-5141. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as his primary health care specialty. Spooner, Justin Lonn can be contacted via phone (772) 343-8000.

Contact Information

Primary practice address
621 Se Port St Lucie Blvd Port Saint Lucie FL 34984-5141
Phone: (772) 343-8000
Fax: (772) 343-7999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT2055 Florida

Profile Details

NPI number 1134134836
LBN Legal business name Spooner, Justin Lonn
Credentials L.P.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2006
Last updated Dec 9th, 2009 - about 17 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 1134134836 NPPES
Florida Other PT2055 LICENSE #

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