MARVIN L SPONAUGLE MD PA
Anesthesiologist Assistant at Pinellas Ave, Tarpon Springs, FL

License number
Florida ME45587
Category
Osteopathic Medicine
Type
Anesthesiology
Owner
Name: MARVIN SPONAUGLE MD
Title: PRESIDENT
Phone: (352) 867-8898
Address
Address 2
1395 S Pinellas Ave, Tarpon Springs, FL 34689
PO Box 864091, Orlando, FL 32886
National Provider ID: 1023173408
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Marvin L. Sponaugle, M.D., PA

Tarpon Springs, FL  -  Palm Harbor, FL

Status:
Inactive
Industry:
Medical Doctor's Office
Registration:
Jul 8, 1986
Addresses:
1501 S Pinellas Ave, Tarpon Springs, FL 34689
32815 Us Hwy 19 N, Palm Harbor, FL 34684
State ID:
J23551
Business type:
Domestic for Profit Corporation
President, Treasurer, Director, Secretary:
Marvin L. Sponaugle President, Treasurer, Director, Secretary, inactive

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