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Samuel Spack
NPI 1598488579 · on the registry since 2022 · sole proprietor
Practice
- Address
- 10121 Shephard St # 8-301
Estero, FL 33967 - Phone
- (561) 319-8255
Registry record
- Primary taxonomy
- 106S00000X
106S00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida