Male or Other

Dr. Justin K. Spooner MD

Child & Adolescent Psychiatry Physician in Ponte Vedra Beach, FL(View on Map)

Full Name

Dr. Justin Kuhns Spooner MD

NPI Number

1720269459

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/21/2007

Specialties

(Taxonomies)

Licenses

State

Florida

License Number

ME115625

Contact
Information

Purpose

Mailing
Location

Address

230 CANAL BLVD STE 2
230 CANAL BLVD STE 2

City

Ponte Vedra Beach
Ponte Vedra Beach

State

FL
FL

Postal Code

32082-3745
32082-3745

Country

US
US

Telephone Number

(904) 280-6701
(904) 280-6701

Identifiers

Identifier

0086324100
HG956

Identifier State

FL
FL

Identifier Issuer

Unknown
MEDICARE

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

Data last updated by provider on 03/07/2023

Provider Address

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