Basic Information
| Provider Information | |||||||||
| NPI: | 1891166807 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SPINDLER | ||||||||
| FirstName: | JEFFREY | ||||||||
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| NamePrefix: | MR. | ||||||||
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| Credential: | ARNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 350 NW 84TH AVE | ||||||||
| Address2: | STE 200 | ||||||||
| City: | PLANTATION | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333241847 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9544341705 | ||||||||
| FaxNumber: | 8552995905 | ||||||||
| Practice Location | |||||||||
| Address1: | 401 SW 4TH AVE | ||||||||
| Address2: | #209 | ||||||||
| City: | FORT LAUDERDALE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 333151013 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4074700060 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/16/2015 | ||||||||
| LastUpdateDate: | 05/12/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/12/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 9299764 | FL | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 207Q00000X | ARNP9299764 | FL | Y | Allopathic & Osteopathic Physicians | Family Medicine |
No ID Information.