SPAGO MEDISPA LLC NPI 1477944361

NPI Information

  • NPI: 1477944361
  • Provider Name: SPAGO MEDISPA LLC
  • Classification: Otolaryngology - 207YX0905X
  • Specialization: Otolaryngology/Facial Plastic Surgery
  • Entity Type: Organization
  • Address: 201 W MARION AVE UNIT 1314
    PUNTA GORDA, FL
    ZIP 33950
  • Phone: (941) 505-0888

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NPI Details

SPAGO MEDISPA LLC is an otolaryngology/facial plastic surgery otolaryngology in Punta Gorda, FL. The provider is an otolaryngologist who specializes in the diagnosis and surgical treatment of head and neck conditions. SPAGO MEDISPA LLC NPI is 1477944361. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

201 W MARION AVE UNIT 1314
PUNTA GORDA, FL
ZIP 33950-467
Phone: (941) 505-0888
Fax: (941) 505-0890

The provider's authorized official is Michael G Stampar .
The authorized official title is Owner and has the following contact phone number (941) 505-0888.

The enumeration date for this NPI number is 2/12/2015 and was last updated on 6/15/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207YX0905XOtolaryngologyOtolaryngology/Facial Plastic SurgeryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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