MEDICARE: DR. JOSEPH T SPAZIANI M.D.

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
1	2085R0001X	Radiation Oncology Physician	ME66867	FL

General Provider Information

NPI Number	:	1548433188
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH T SPAZIANI M.D.

Provider Business Mailing Address
First Line	:	8816 S SAN ANDROS
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-5928
Country	:	US
Telephone Number	:	561-784-4520
Fax Number	:	561-784-4520

Provider Business Practice Location Address
First Line	:	1443 PALMDALE CT
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33411-3319
Country	:	US
Telephone Number	:	561-471-8876
Fax Number	:	561-209-5589

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2008
Last Update Date	:	04/03/2008

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