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Contact Information

BRYAN A SPOONER, DPM
1866 BUFORD BLVD
TALLAHASSEE, FL32308
 Phone: 850-878-6998
 Fax: 850-656-9293
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRYAN A SPOONER · (Male)

NPI Number 1245294933
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 04/12/2006
Last updated 01/14/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • FL License # P02786
  • FL Medicaid 390495400
Hospital affiliation(s)
  • CAPITAL REGIONAL MEDICAL CENTER - (Acute Care)
    2626 CAPITAL MEDICAL BLVD
    TALLAHASSEE, FL 32308
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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