Provider Demographics
NPI:1497575294
Name:SPENCE AND SPENCE WELLNESS INC
Entity type:Organization
Organization Name:SPENCE AND SPENCE WELLNESS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:
Authorized Official - Last Name:SPENCE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:850-741-4668
Mailing Address - Street 1:6400 N DAVIS HWY STE 4
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6968
Mailing Address - Country:US
Mailing Address - Phone:850-741-4668
Mailing Address - Fax:866-422-9002
Practice Address - Street 1:6400 N DAVIS HWY STE 4
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6968
Practice Address - Country:US
Practice Address - Phone:850-741-4668
Practice Address - Fax:866-422-9002
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty