Provider Demographics
NPI:1982151668
Name:SPERTI, NANCY
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:SPERTI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:741 ORANGE AVE
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32714-3031
Mailing Address - Country:US
Mailing Address - Phone:407-786-7818
Mailing Address - Fax:407-786-7829
Practice Address - Street 1:741 ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32714-3031
Practice Address - Country:US
Practice Address - Phone:407-786-7818
Practice Address - Fax:407-786-7829
Is Sole Proprietor?:No
Enumeration Date:2016-09-09
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS12773183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist