Healthcare Provider Details

I. General information

NPI: 1336933480
Provider Name (Legal Business Name): MADALYN MARIE SPINDLE APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2025
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4126 MARK ST
TEQUESTA FL
33469-2619
US

IV. Provider business mailing address

4126 MARK ST
TEQUESTA FL
33469-2619
US

V. Phone/Fax

Practice location:
  • Phone: 561-427-3650
  • Fax: 561-427-3650
Mailing address:
  • Phone: 561-427-3650
  • Fax: 561-427-3650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN9515832
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN11048287
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: