National Provider Identifier Database

ANGELA S SPENCER, MD – NPI #1063476430
Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.


Contact Information

ANGELA S SPENCER, MD
2100 N WICKHAM RD
MELBOURNE, FL32935
Phone: 321-752-7100
Fax: 321-752-7105
Website:
Specialty Taxonomy Code
* Neurology 2084N0400X

* Indicates primary specialty

NPI Profile & details for ANGELA S SPENCER

NPI Number 1063476430
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 12/21/2020 - About 5 years ago
Sole proprietor1 No
Identifiers
  • FL License #: ME0093302
  • FL Medicaid: 023440400
  • FL Medicaid: 272830300
  • FL Other: 16273 BCBS
  • FL Other: NC002 FL HF MEDICARE
  • FL Other: P00382941 RR MEDICARE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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