Provider Demographics
NPI:1013988757
Name:SPIRA, HENRY MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:HENRY
Middle Name:MICHAEL
Last Name:SPIRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 RENAISSANCE SQ APT 28F
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10601-3049
Mailing Address - Country:US
Mailing Address - Phone:954-309-0938
Mailing Address - Fax:
Practice Address - Street 1:1801 W SAMPLE RD STE 301
Practice Address - Street 2:
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-1370
Practice Address - Country:US
Practice Address - Phone:954-777-1400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-31
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME271302084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL051153600Medicaid
93655Medicare ID - Type Unspecified
FL051153600Medicaid