Provider Demographics
NPI:1043278948
Name:SPIEGLER, MARTIN W (MD)
Entity Type:Individual
Prefix:DR
First Name:MARTIN
Middle Name:W
Last Name:SPIEGLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 268735
Mailing Address - Street 2:
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-8735
Mailing Address - Country:US
Mailing Address - Phone:954-300-2482
Mailing Address - Fax:
Practice Address - Street 1:5333 N DIXIE HWY
Practice Address - Street 2:SUITE 201
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33334-3414
Practice Address - Country:US
Practice Address - Phone:954-300-2482
Practice Address - Fax:954-300-2482
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-02
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 24909204C00000X, 207Q00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
No204C00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine, Sports Medicine
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine