Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maryalice Spin, MD

Individual provider Anesthesiology Physician · NPI 1265051031

Maryalice Spin, MD is an Anesthesiology Physician in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2020.

Licensed in
FL
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2080 Child St
Jacksonville, FL 32214-5005
Phone: (315) 406-1761
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence ME165746 (FL)

Record details

NPI number1265051031
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 13, 2020
Last updated in NPPESJuly 25, 2024
Certification dateJuly 25, 2024

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