Look up the most recent NPI and PECOS records

Michael J Spiros

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Michael J Spiros does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 8 days ago.

Profile Details

Provider ID
1104200443
Provider Type
Individual
Full Name
Spiros, Michael J
Credential
APRN

Gender
Male
Sole Proprietor
No
Enumeration Date
7/16/2015
Last Updated
9/1/2020

Contact Information

Practice Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Mailing Location

4500 San Pablo Rd S, Jacksonville, FL 32224-1865

(904) 953-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363L00000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License APRN11002738 Florida
Code 363L00000X	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License RN2282064 Massachusetts

Michael J Spiros

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Molenaar, Michelle Lynn

Weinert, Danielle Suzanne

Ahn, Ana Gabriela

Cushenbery, Kristin

Kwok, Sabrina

Mazer, Laura S

Brown, Alethea Brooke

Adams, Jeremy C

Miranda, Yarlenis

King, Courtney Renee