| Joseph G Spano Md Pa | |
|
130 Tamiami Trl N Suite 130 Naples FL 34102-6224 | |
| (239) 263-4470 | |
| (239) 403-1655 |
| Full Name | Joseph G Spano Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 130 Tamiami Trl N, Naples, Florida |
| Authorized Official Name and Position | Joseph G Spano (MD) |
| Authorized Official Contact | 2392634470 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph G Spano Md Pa 130 Tamiami Trl N Suite 130 Naples FL 34102-6224 Ph: (239) 263-4470 | Joseph G Spano Md Pa 130 Tamiami Trl N Suite 130 Naples FL 34102-6224 Ph: (239) 263-4470 |
| NPI Number | 1982892857 |
|---|---|
| Provider Enumeration Date | 10/04/2007 |
| Last Update Date | 08/13/2008 |
| Medicare PECOS PAC ID | 0840279873 |
|---|---|
| Medicare Enrollment ID | O20040714001157 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982892857 | NPI | - | NPPES |
| 490004079 | Other | FL | RAILROAD MEDICARE |
| 048570500 | Medicaid | FL | |
| 1982892857 | Other | FL | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | ME15497 (Florida) | Primary |
| Provider Name | Joseph Spano |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1417068040 PECOS PAC ID: 2365331196 Enrollment ID: I20040714001186 |
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