| Doctor Name: | IDA MARY SPEARS |
| NPI Number: | 1093788812 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN524882 |
| Business Practice Address: | 115 S Oak Ave Fort Meade, FL - 338413527 |
| Business Phone Number: | 8635197900 |
| Business Fax Number: | 8635197696 |
| Mailing Address: | 1290 Golfview Ave, BARTOW |
| State: | FL |
| Postal Code: | 338306738 |
| Phone Number: | 8635197900 |
| Fax Number: | 8635197696 |
| NPI Enumeration Date: | 02/10/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN524882 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |