Healthcare Provider Details

I. General information

NPI: 1821297888
Provider Name (Legal Business Name): RICHARD WARREN SPIRER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 07/11/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7887 N KENDALL DR SUITE 102
MIAMI FL
33156-7427
US

IV. Provider business mailing address

4483 NW 36TH ST SUITE 120
MIAMI SPRINGS FL
33166-7260
US

V. Phone/Fax

Practice location:
  • Phone: 305-279-7722
  • Fax: 305-279-2090
Mailing address:
  • Phone: 305-888-7555
  • Fax: 305-888-7410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberME 27131
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberME 27131
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: