Provider Demographics
NPI:1972131563
Name:SPEER, ALEX (DPM)
Entity type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:SPEER
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6160 N DAVIS HWY STE 1
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6967
Mailing Address - Country:US
Mailing Address - Phone:850-476-2805
Mailing Address - Fax:
Practice Address - Street 1:825 E BURGESS RD
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-7001
Practice Address - Country:US
Practice Address - Phone:850-806-2153
Practice Address - Fax:850-806-2153
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2025-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPENDING213E00000X
FLPO4564213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist