Provider Demographics
NPI:1558611236
Name:SPIELMAN, RONALD LEON
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:LEON
Last Name:SPIELMAN
Suffix:
Gender:M
Credentials:
Other - Prefix:DR
Other - First Name:RONALD
Other - Middle Name:LEON
Other - Last Name:SPIELMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:439 DAROCO AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-2805
Mailing Address - Country:US
Mailing Address - Phone:305-666-0321
Mailing Address - Fax:305-666-0321
Practice Address - Street 1:439 DAROCO AVE
Practice Address - Street 2:
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-2805
Practice Address - Country:US
Practice Address - Phone:305-666-0321
Practice Address - Fax:305-666-0321
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-11
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME10145207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology