GREGORY C SPAIN


Address: 11323 Reflection Isles Blvd, Fort Myers, FL 33912
Phone: 2399196896

GREGORY C SPAIN (NPI# 1942378724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942378724
Entity Type Individual
Full Name GREGORY C SPAIN
Credential DPM
Practice Address 11323 Reflection Isles Blvd
Fort Myers
FL 33912
Mailing Address 11323 Reflection Isles Blvd
Fort Myers
FL 33912-8919
Practice Telephone 2399196896
Practice Fax Number 2392196158
Mailing Telephone 2399196896
Mailing Fax Number 2392196158
Enumeration Date 2006-12-01
Last Update Date 2019-10-21
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 213ES0103X Podiatrist
Specialization: Foot & Ankle Surgery
PO3323 FL Podiatric Medicine & Surgery Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA CIGNA HEALTHCARE 3014221 01
FL 004057100 05
PA HEALTH AMERICA 302558 01
PA BLUE SHIELD 413476 01
PA AETNA USHC 2082528 01

Other Providers GREGORY SPAIN

NPI Name Taxonomy Address Enumeration
1720346463 Gregory Ian Spain Physician Assistant 301 E Jackson St, Dillon, SC 29536-2509 2012-05-01

Office Location

Street Address 11323 REFLECTION ISLES BLVD
City FORT MYERS
State FL
Zip Code 33912

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134684814 Performance Health Surgery Center Clinic/Center 9500 Gulf Research Lane, Fort Myers, FL 33912 2019-02-06
1609351899 Voa Lee County Health Care Facility, Inc. Skilled Nursing Facility 14750 Hope Center Loop, Ft. Myers, FL 33912 2018-10-03
1245719954 Lauren Grimes Pharmacist 13711 S Tamiami Trail, Fort Myers, FL 33912 2018-08-13
1972080828 Solaris Rehab, LLC Clinic/Center 14001 Metro Parkway, Fort Myers, FL 33912 2018-07-24
1467943803 Marie Veronica Scott Nurse Practitioner 14015 Danpak Loop, Fort Myers, FL 33912 2018-05-22
1952892291 Daniels Modern Dentistry, Pa Dentist 6871 Daniels Parkway, Suite 100, Fort Myers, FL 33912 2018-05-22
1295258994 Julie Ann Jakobi Counselor 18 Quanery Court, Fort Myers, FL 33912 2017-07-25
1205359908 Maria Reyes Developmental Therapist 8961 Daniels Center Drive Suite 401, Fort Myers, FL 33912 2017-07-25
1669919288 Darinka Ruiz Social Worker 961 Daniels Center Drive, Suite 401, Fort Myers, FL 33912 2017-01-20
1730622598 Valerie Starnes Nurse Practitioner 13411 Parker Commons Blvd Ste 101, Fort Myers, FL 33912 2016-11-28
Find all providers in zip 33912

Taxonomy Information

Taxonomy Code 213ES0103X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot & Ankle Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1326573940 Sahiba Singh Podiatrist 6846 International Center Blvd Ste B, Fort Myers, FL 33912-7155 2017-04-21
1689113409 Apex Foot & Ankle Center, LLC Podiatrist 8100 Arbor Ct, Second Floor Building A, Fort Myers, FL 33908-2865 2017-02-13
1528435807 Burg Foot & Ankle Pa Podiatrist 12681 New Brittany Blvd, Bldg 1e, Fort Myers, FL 33907-3631 2015-08-21
1912309030 Foot Ankle&lower Leg Surgical Group LLC Podiatrist 35 Barkley Cir Ste 2, Fort Myers, FL 33907-7601 2014-09-19
1417298597 Michael James Wilkins Podiatrist 5238 Mason Corbin Ct Ste 102, Fort Myers, FL 33907 2013-03-14
1578792339 Soorena Sadri Podiatrist 4956 Royal Gulf Cir, Fort Myers, FL 33966-7006 2009-07-14
1093963449 Eric Stephen Trathen Podiatrist 12630 World Plaza Ln, Suite 70, Fort Myers, FL 33907-3987 2008-08-28
1871541680 David Nicholas Gavin Podiatrist 15620 Mcgregor Blvd., Suite 125, Fort Myers, FL 33908-2528 2006-05-04
1437153236 Brian K Doerr Podiatrist 14391 Metropolis Ave, Suite 103, Fort Myers, FL 33912-4421 2005-06-09
1346243748 Hal Leslie Bozof Podiatrist 2540 Winkler Ave, Ste 2, Fort Myers, FL 33901-9338 2005-05-31
Find all providers in FORT MYERS

Competitor

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City FORT MYERS
Zip Code 33912

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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