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General NPI Number Information
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NPI Number | 1023967544
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Entity Type | Organization
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Legal Business Name | SPERTUSMD, PLLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 9822 NE 2ND AVE STE 4
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City | MIAMI SHORES
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State | FL
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Zip | 33138-2347
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Country | US
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Telephone | 305-981-6871
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Fax |
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Provider Business Mailing Address
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Address Line | 1900 N BAYSHORE DR STE 1A-211
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City | MIAMI
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State | FL
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Zip | 33132-3001
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Country | US
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Telephone | 305-981-6871
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Fax | 305-515-2111
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL SPERTUS
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Credential | MD
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Telephone | 386-341-0559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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