Provider Demographics
NPI:1770553976
Name:SPEER, ARINETA NMN (MEDICAL DOCTOR)
Entity type:Individual
Prefix:DR
First Name:ARINETA
Middle Name:NMN
Last Name:SPEER
Suffix:
Gender:F
Credentials:MEDICAL DOCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1124 E YONGE ST
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32503-4778
Mailing Address - Country:US
Mailing Address - Phone:850-433-9229
Mailing Address - Fax:850-433-9237
Practice Address - Street 1:1124 E YONGE ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32503-4778
Practice Address - Country:US
Practice Address - Phone:850-433-9229
Practice Address - Fax:850-433-9237
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL50895207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCX701AMedicare PIN