IRA SPINNER DPM PA
Medical Practice at Jog Rd, Boynton Beach, FL

License number
Florida PO2393
Category
Medical Practice
Type
Foot & Ankle Surgery
Owner
Name: IRA SPINNER DPM
Title: OWNER
Phone: (561) 734-4867
Address
Address
10075 Jog Rd STE 208, Boynton Beach, FL 33437
National Provider ID: 1003090937
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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IRA SPINNER, D.P.M., PA

Boynton Beach, FL

Status:
Inactive
Industry:
Podiatrist's Office
Doing business as:
Ira Spinner Dpm
Inactive reason:
Cancel Adm Diss/rev
Registration:
Aug 3, 2000
Inactive since:
Aug 13, 2007
Phone:
(561) 734-4867 (Phone)
Addresses:
10075 Jog Rd 208, Boynton Beach, FL 33437 (Physical)
10075 S Jog Rd, Boynton Beach, FL 33437
State ID:
P00000075080
Business type:
Florida Profit Corporation
Office Managers:
Ira Spinner (Owner, Podiatrist, Medical Doctor, Director), 10075 Jog Rd #208, Boynton Beach, FL 33437 (Physical),Caroline A. Perillo (Office Manager)
EIN:
65-0462331

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