MARY ALICE-SPARKS LANE

TAVARES, FL
NPI1922325794
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: FL  ME106438)
Additional Taxonomies207Q00000X Family Medicine
(Licence: FL  ME106438)
Enumeration Date2010-05-03
Last Update Date2022-07-21
Business Address
Mrs. MARY ALICE-SPARKS LANE M.D.
1000 WATERMAN WAY
TAVARES, FL 32778-5266
Phone number: 352-742-3578
Mailing Address
Mrs. MARY ALICE-SPARKS LANE M.D.
1741 DAVID WALKER DR
TAVARES, FL 32778-5745
Phone number: 352-742-3578