Provider Demographics
NPI:1578803573
Name:SPEER, WILLIAM DAVID (PA-C)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:DAVID
Last Name:SPEER
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:430 COLLEGE DR
Mailing Address - Street 2:SUITE 104-106
Mailing Address - City:MIDDLEBURG
Mailing Address - State:FL
Mailing Address - Zip Code:32068-8530
Mailing Address - Country:US
Mailing Address - Phone:904-298-1994
Mailing Address - Fax:904-298-1973
Practice Address - Street 1:430 COLLEGE DR
Practice Address - Street 2:SUITE 104-106
Practice Address - City:MIDDLEBURG
Practice Address - State:FL
Practice Address - Zip Code:32068-8530
Practice Address - Country:US
Practice Address - Phone:904-298-1994
Practice Address - Fax:904-298-1973
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2015-06-12
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant