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Contact Information

ANGELA S SPENCER, MD
2100 N WICKHAM RD
MELBOURNE, FL32935
 Phone: 321-752-7100
 Fax: 321-752-7105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for ANGELA S SPENCER · (Female)

NPI Number 1063476430
Status Active
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 12/21/2020 - About 5 years ago
Sole proprietor 1 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(s) Not Available
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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