Basic Information
| Provider Information | |||||||||
| NPI: | 1578753083 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ANTHONY J SPINELLA DPM PL | ||||||||
| LastName: | |||||||||
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| OtherOrganizationName: | ARCADIA FOOT AND ANKLE CENTER | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 161 SHORELAND DR | ||||||||
| Address2: | |||||||||
| City: | OSPREY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342299646 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9414842602 | ||||||||
| FaxNumber: | 9414843758 | ||||||||
| Practice Location | |||||||||
| Address1: | 1006 N MILLS AVE | ||||||||
| Address2: | |||||||||
| City: | ARCADIA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 342668811 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8639937731 | ||||||||
| FaxNumber: | 8639937738 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/31/2007 | ||||||||
| LastUpdateDate: | 08/14/2008 | ||||||||
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| AuthorizedOfficialLastName: | SPINELLA | ||||||||
| AuthorizedOfficialFirstName: | ANTHONY | ||||||||
| AuthorizedOfficialMiddleName: | J. | ||||||||
| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 9414842602 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
| ParentOrganizationLBN: | |||||||||
| AuthorizedOfficialNamePrefix: | DR. | ||||||||
| AuthorizedOfficialNameSuffix: | |||||||||
| AuthorizedOfficialCredential: | D.P.M. | ||||||||
| NPICertificationDate: | |||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QP1100X | PO 1837 | FL | Y | Ambulatory Health Care Facilities | Clinic/Center | Podiatric |
No ID Information.