Provider Demographics
NPI:1346635315
Name:SPINELLE, DAREN (MD)
Entity type:Individual
Prefix:DR
First Name:DAREN
Middle Name:
Last Name:SPINELLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:737 PENFIELD ST
Mailing Address - Street 2:
Mailing Address - City:LONGBOAT KEY
Mailing Address - State:FL
Mailing Address - Zip Code:34228-1451
Mailing Address - Country:US
Mailing Address - Phone:813-956-9227
Mailing Address - Fax:907-313-1400
Practice Address - Street 1:546 BAY ISLES RD
Practice Address - Street 2:
Practice Address - City:LONGBOAT KEY
Practice Address - State:FL
Practice Address - Zip Code:34228-3129
Practice Address - Country:US
Practice Address - Phone:941-278-6407
Practice Address - Fax:907-313-1400
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-06
Last Update Date:2022-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY306777-01207R00000X
CT61468208M00000X
FLME137182208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist