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NPI Code Detail

MEDICARE: LORI SPILKER PA-C

MEDICARE:   LORI  SPILKER  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363AM0700XMedical Physician AssistantPA3002FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1508968611
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORI SPILKER PA-C
Provider Business Mailing Address
First Line : PO BOX 61148
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32236-1148
Country : US
Telephone Number : 904-308-3696
Fax Number : 904-308-3697
Provider Business Practice Location Address
First Line : 1201 MONUMENT RD
Second Line : SUITE 201
City : JACKSONVILLE
State : FL
Zip : 32225-7411
Country : US
Telephone Number : 904-727-5151
Fax Number : 904-727-3887
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/01/2006
Last Update Date : 02/08/2008

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Directions to “ LORI SPILKER PA-C” Practice Location

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