| Mark Spears Md Pllc | |
|
5600 Porada Dr Ste 103 Viera FL 32940-8082 | |
| (321) 505-7380 | |
| Not Available |
| Full Name | Mark Spears Md Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 5600 Porada Dr Ste 103, Viera, Florida |
| Authorized Official Name and Position | Mark Alan Spears (CEO) |
| Authorized Official Contact | 3215057380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Spears Md Pllc 3484 Gatwick Manor Ln Viera FL 32940-8405 Ph: (321) 505-7380 | Mark Spears Md Pllc 5600 Porada Dr Ste 103 Viera FL 32940-8082 Ph: (321) 505-7380 |
| NPI Number | 1578112033 |
|---|---|
| Provider Enumeration Date | 09/08/2019 |
| Last Update Date | 09/08/2019 |
| Medicare PECOS PAC ID | 9931532892 |
|---|---|
| Medicare Enrollment ID | O20191206000663 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578112033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Mark Alan Spears |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1023057999 PECOS PAC ID: 9537160403 Enrollment ID: I20070118000543 |
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