Healthcare Provider Details

I. General information

NPI: 1275533705
Provider Name (Legal Business Name): ROGER DANIEL SPITZER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2005
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20814 W DIXIE HWY
AVENTURA FL
33180-1147
US

IV. Provider business mailing address

20814 W DIXIE HWY
AVENTURA FL
33180-1147
US

V. Phone/Fax

Practice location:
  • Phone: 305-933-8433
  • Fax: 305-933-9115
Mailing address:
  • Phone: 305-933-8433
  • Fax: 305-933-9115

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License NumberME56375
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: