Provider Information for 1609207216
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DAVID A SPELLMAN RMHCI, RMFTI, NCC
Sex: Male
NPI: 1609207216
Last Updated: 2013-12-07
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1609207216 | ||||||||||||
| Enumeration Date | 2013-12-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 265 E GRAVES AVE ORANGE CITY, FL 32763-5213 United States Phone: 386-624-2177 | Fax: | ||||||||||||
| Primary Practice Address | 265 E GRAVES AVE ORANGE CITY, FL 32763-5213 United States Phone: 386-624-2177 | Fax: | ||||||||||||
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