Healthcare Provider Details

I. General information

NPI: 1578499281
Provider Name (Legal Business Name): TANIA SANDY PATRICIA SPENCE PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2026
Last Update Date: 06/20/2026
Certification Date: 06/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16853 NE 2ND AVE STE 304
NORTH MIAMI BEACH FL
33162-1776
US

IV. Provider business mailing address

16853 NE 2ND AVE STE 304
NORTH MIAMI BEACH FL
33162-1776
US

V. Phone/Fax

Practice location:
  • Phone: 786-414-6666
  • Fax: 786-221-3542
Mailing address:
  • Phone: 786-414-6666
  • Fax: 786-221-3542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN11047018
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: