Maryalice Spin MD
Anesthesiology Physician in Jacksonville, FL(View on Map)
Full Name
Maryalice Spin MD
NPI Number
1265051031
NPI Type
Individual Provider
Gender
Female
Enumeration Date
04/13/2020
Specialties
(Taxonomies)Licenses
State
Florida
License Number
ME165746
Contact
Information
Purpose
Mailing
Location
Address
2080 CHILD ST
2080 CHILD ST
City
Jacksonville
Jacksonville
State
FL
FL
Postal Code
32214-5005
32214-5005
Country
US
US
Telephone Number
(315) 406-1761
(315) 406-1761
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/25/2024