Provider Demographics
NPI:1801395835
Name:JOSEPH-SPAULDING, FLOBRENNE (RN)
Entity Type:Individual
Prefix:
First Name:FLOBRENNE
Middle Name:
Last Name:JOSEPH-SPAULDING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6779 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33919-6425
Mailing Address - Country:US
Mailing Address - Phone:239-265-3695
Mailing Address - Fax:
Practice Address - Street 1:6779 OVERLOOK DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33919-6425
Practice Address - Country:US
Practice Address - Phone:239-265-3695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-05
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9393719163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
081060730OtherD--U-N-S