Healthcare Provider Details

I. General information

NPI: 1033025374
Provider Name (Legal Business Name): DANA SPEARS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2802 RIDGE HOLLOW LN
LUTZ FL
33559-8213
US

IV. Provider business mailing address

2802 RIDGE HOLLOW LN
LUTZ FL
33559-8213
US

V. Phone/Fax

Practice location:
  • Phone: 404-683-0024
  • Fax:
Mailing address:
  • Phone: 404-683-0024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPHI-009572
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code1835X0200X
TaxonomyOncology Pharmacist
License NumberPS37668
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: