Provider Demographics
NPI:1932369089
Name:ALLAN M SPIEGEL MD PA
Entity Type:Organization
Organization Name:ALLAN M SPIEGEL MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SPIEGEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:727-787-7077
Mailing Address - Street 1:31608 US 19 NORTH
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-9999
Mailing Address - Country:US
Mailing Address - Phone:727-787-7077
Mailing Address - Fax:727-786-6588
Practice Address - Street 1:31608 US 19 NORTH
Practice Address - Street 2:
Practice Address - City:PALM HARBOR
Practice Address - State:FL
Practice Address - Zip Code:34684-9999
Practice Address - Country:US
Practice Address - Phone:727-787-7077
Practice Address - Fax:727-786-6588
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-12
Last Update Date:2009-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL62538OtherBLUE CROSS BLUE SHIELD
FL5332550001Medicare NSC