Provider Demographics
NPI:1235129784
Name:SPINELLA, ANTHONY J (MD)
Entity Type:Individual
Prefix:DR
First Name:ANTHONY
Middle Name:J
Last Name:SPINELLA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8592 POTTER PARK DR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-5467
Mailing Address - Country:US
Mailing Address - Phone:941-921-6618
Mailing Address - Fax:941-922-0556
Practice Address - Street 1:8592 POTTER PARK DR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-5467
Practice Address - Country:US
Practice Address - Phone:941-921-6618
Practice Address - Fax:941-922-0556
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME137709207Q00000X, 207Q00000X
FLPO1837213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT16047Medicare UPIN
FL6093970001Medicare NSC
FL65325Medicare ID - Type Unspecified