Male or Other

Thomas N. Spackman M.D.

Anesthesiology Physician in Jacksonville, FL(View on Map)

Full Name

Thomas N Spackman M.D.

NPI Number

1316927718

NPI Type

Individual Provider

Gender

Male

Enumeration Date

01/20/2006

Specialties

(Taxonomies)

Code

207L00000X

Primary Taxonomy

Yes

Licenses

State

Florida
Minnesota

License Number

ME73508
24521

Contact
Information

Purpose

Mailing
Location

Address

4500 SAN PABLO RD S
4500 SAN PABLO RD S

City

Jacksonville
Jacksonville

State

FL
FL

Postal Code

32224-1865
32224-1865

Country

US
US

Telephone Number

(904) 953-2000
(904) 953-2000

Identifiers

Identifier

749514500
000699600

Identifier State

MN
FL

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 03/29/2013

Provider Address

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