MEDICARE: ANTHONY J SPINELLA DPM PL

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	261QP1100X	Podiatric Clinic/Center	PO 1837	FL

General Provider Information

NPI Number	:	1578753083
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANTHONY J SPINELLA DPM PL

Provider Business Mailing Address
First Line	:	161 SHORELAND DR
Second Line	:
City	:	OSPREY
State	:	FL
Zip	:	34229-9646
Country	:	US
Telephone Number	:	941-484-2602
Fax Number	:	941-484-3758

Provider Business Practice Location Address
First Line	:	1006 N MILLS AVE
Second Line	:
City	:	ARCADIA
State	:	FL
Zip	:	34266-8811
Country	:	US
Telephone Number	:	863-993-7731
Fax Number	:	863-993-7738

Authorized Official
Title or Position	:	OWNER
Name	:	DR. ANTHONY J. SPINELLA
Credential	:	D.P.M.
Telephone Number	:	941-484-2602

Provider Enumeration Date	:	07/31/2007
Last Update Date	:	08/14/2008

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