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NPI Code Detail

MEDICARE: ABBRIGALE SPENCE

MEDICARE: ABBRIGALE SPENCE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11835P0018XPharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPS63136FL

General Provider Information

NPI Number : 1477221919
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABBRIGALE SPENCE
Provider Business Mailing Address
First Line : 1773 NW 208TH TER
Second Line :
City : PEMBROKE PINES
State : FL
Zip : 33029-2303
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6270 W SAMPLE RD
Second Line :
City : CORAL SPRINGS
State : FL
Zip : 33067-3176
Country : US
Telephone Number : 954-344-5565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2021
Last Update Date : 08/31/2021

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Directions to “ ABBRIGALE SPENCE ” Practice Location

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