Individual provider · Type 1 NPI

Tristen Kima Spencer, MD

Student in an Organized Health Care Education/Training Program · Miami, FL

NPI number 1396673018 Active

Practice location

1611 NW 12th Avenue
Miami, FL 33136

Call (305) 355-1122 Map

Mailing address

1400 NW 10th Avenue, Apt 1604
Miami, FL 33136

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XTRN46507 (FL)

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396673018

Tristen Kima Spencer, MD's National Provider Identifier is 1396673018, issued on May 12, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Miami, FL. The record was last updated on Aug 31, 2026.