Female

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)

Code

207L00000X

Primary Taxonomy

Yes

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

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