Organization Name: | ONE SPIN INC |
NPI Number: | 1114242120 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LESLIE C CLARKE (PRESIDENT) |
Mailing Address: | 3850 Silverlake Way Wesley Chapel |
State: | FL US |
Postal Code: | 335447915 |
Phone Number: | 8137890777 |
Fax Number: | 8134417240 |
NPI Enumeration Date: | 04/01/2010 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 2511202 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |