Healthcare Provider Details

I. General information

NPI: 1346458577
Provider Name (Legal Business Name): PAUL BOYD SPARZAK D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/20/2007
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

250 N ALAFAYA TRL STE 105
ORLANDO FL
32828-4336
US

IV. Provider business mailing address

250 N ALAFAYA TRL STE 105
ORLANDO FL
32828-4336
US

V. Phone/Fax

Practice location:
  • Phone: 407-652-5099
  • Fax:
Mailing address:
  • Phone: 407-652-5099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS23903
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberOS10326
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: