Doctor Name: | DR. CARLOS ERNESTO SPERA |
NPI Number: | 1033270251 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | ME73811 |
Business Practice Address: | 12575 Orange Dr Suite 303 Davie, FL - 333304302 |
Business Phone Number: | 9545778585 |
Business Fax Number: | 9545778556 |
Mailing Address: | 12575 Orange Dr, Suite 303 DAVIE |
State: | FL |
Postal Code: | 333304302 |
Phone Number: | 9545778585 |
Fax Number: | 9545778556 |
NPI Enumeration Date: | 12/12/2006 |
NPI Last Update Date: | 08/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | ME73811 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |