Provider Demographics
NPI:1578753083
Name:ANTHONY J SPINELLA DPM PL
Entity Type:Organization
Organization Name:ANTHONY J SPINELLA DPM PL
Other - Org Name:ARCADIA FOOT AND ANKLE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPINELLA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:941-484-2602
Mailing Address - Street 1:161 SHORELAND DR
Mailing Address - Street 2:
Mailing Address - City:OSPREY
Mailing Address - State:FL
Mailing Address - Zip Code:34229-9646
Mailing Address - Country:US
Mailing Address - Phone:941-484-2602
Mailing Address - Fax:941-484-3758
Practice Address - Street 1:1006 N MILLS AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-8811
Practice Address - Country:US
Practice Address - Phone:863-993-7731
Practice Address - Fax:863-993-7738
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-31
Last Update Date:2008-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPO 1837261QP1100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP1100XAmbulatory Health Care FacilitiesClinic/CenterPodiatric
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT16047Medicare UPIN
FL6093970001Medicare NSC