Mindy Sporn is a Physician Assistant in Hollywood, Florida. Mindy Sporn practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mindy Sporn is 1245304310. The last update date is 2021-03-15.
Mindy Sporn's current location address is 3501 Johnson St, Hollywood, Florida. You can contact this provider via phone number 9542659307. The mailing address for Mindy Sporn is 3501 Johnson St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mindy Sporn |
|---|---|
| Address | 3501 Johnson St, Hollywood, Florida |
| Phone Number | 9542659307 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1245304310 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2021-03-15 |
Provider Mailing Address Detail
| Address | 3501 Johnson St |
|---|---|
| City | Hollywood |
| State | Florida (FL) |
| Post Code | 330215421 |
| Phone Number | 9542659307 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 6974 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 25182100 | FL | -- |
Post Comment/ Review Below
What is the Mindy Sporn's unique identification number?
The Mindy Sporn has been assigned the NPI (National Provider Identifier) Number 1245304310 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Mindy Sporn's physical address?
The Mindy Sporn is physically located at 3501 Johnson St, in the city of Hollywood, FL, with the postal code 330215421.
What is Mindy Sporn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mindy Sporn is Physician Assistant, and the corresponding taxonomy classification code for this specialized field is 363A00000X.
On what date did the Mindy Sporn receive its 1245304310 assignment from the Centers for Medicare & Medicaid Services?
The Mindy Sporn was assigned its 1245304310 by the Centers for Medicare & Medicaid Services on 2006-11-20.
As of what date were the details pertaining to Mindy Sporn last refreshed?
The information related to the Mindy Sporn, including its address, specialty, and other relevant details, was last updated on 2021-03-15.
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