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  • Hospice & Palliative Medicine, Internal Medicine
  • Accepting new patients
  • 27 years of experience
  • Internal Medicine And Associates 4318 5th Ave, Marianna, FL 32446
  • (850) 526-5300

Brief Intro

Dr. Spence graduated from the University of Florida College of Medicine in 1998. He works in Marianna, FL and 1 other location and specializes in Internal Medicine and Hospice & Palliative Medicine. Dr. Spence is affiliated with Jackson Hospital.

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Education Background

RESIDENCY

University Of Florida Health

MEDICAL SCHOOL

University Of Florida College Of Medicine - 1998

Languages Spoken

  • English
  • Spanish

Location & Hours

  • Internal Medicine And Associates
  • 4318 5th Ave, Marianna, FL 32446
  • Mon:8:00 am - 5:00 pm
    Tue:8:00 am - 5:00 pm
    Wed:8:00 am - 5:00 pm
    Thu:8:00 am - 5:00 pm
    Fri:8:00 am - 1:00 pm
    Sat:Closed
    Sun:Closed

Specialties Treated

  • Internal Medicine
  • Hospice & Palliative Medicine

Conditions Addressed

  • Alcohol Dependence
  • Obesity
  • Pneumonia
  • Appendicitis
  • Septicemia
  • Atrial Fibrillation and Atrial Flutter
  • Cardiac Arrhythmia
  • Depressive Disorders
  • Abnormal Vaginal Bleeding
  • Diverticulitis
  • Gastroesophageal Reflux Disease (GERD)
  • Gastrointestinal Hemorrhage
  • Heart Failure
  • Hypertension (HTN)
  • Hypothyroidism
  • Skin and Subcutaneous Infections
  • Ischemic Heart Disease
  • Malignant Neoplasm of Female Breast
  • Bacterial Pneumonia
  • Parkinson's Disease
  • Paroxysmal Supraventricular Tachycardia (PSVT)
  • Viral Pneumonia
  • Pulmonary Embolism
  • Spinal Stenosis
  • Transient Cerebral Ischemia
  • Bipolar Disorder
  • Candidiasis
  • Cholelethiasis or Cholecystitis
  • Chronic Bronchitis
  • Constipation
  • Diabetes Mellitus (DM)
  • Epilepsy
  • Acute Bronchitis
  • Intervertebral Disc Degeneration
  • Acute Pancreatitis
  • Acute Upper Respiratory Tract Infections
  • Peptic Ulcer Disease
  • Poisoning by Drugs, Meds, or Biological Substances
  • Venous Embolism and Thrombosis
  • Fractures, Dislocations, Derangement, and Sprains
  • Inflammatory Bowel Disease (IBD)
  • Acute Myocardial Infarction (AMI)
  • Acute Renal Failure
  • Alzheimer's Disease
  • Anemia
  • Anxiety Phobic Disorders
  • Bronchial Asthma
  • Attention Deficit Disorder (ADD)
  • Cardiomyopathy
  • Chronic Renal Disease
  • Osteoarthritis
  • Dehydration
  • Dementia
  • Disorders of Lipoid Metabolism
  • Peripheral Nerve Disorders
  • Gastritis and Duodenitis
  • Gout
  • Urinary Tract Infection (UTI)
  • Intestinal Obstruction
  • Iron Deficiency Anemia
  • Ischemic Stroke
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Procedures Performed

  • Venipuncture
  • Arthrocentesis
  • Inner Ear Tests
  • Physical Therapy
  • Skin Tags Removal
  • Cardiac Stress Test
  • Occupational Therapy Evaluation
  • Echocardiogram
  • Destruction of Benign/Premalignant Skin Lesions
  • Blood transfusion
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Insurance Accepted

* Insurance information may change frequently. Please verify directly with the provider (doctor/clinic).

  • Wellcare
  • Capital Health Plan
  • Simply Healthcare
  • Medicare
  • Medicaid
  • Blue Cross Blue Shield
  • CHAMPVA
  • Humana
  • Blue Cross Blue Shield of Alabama
  • Cigna-HealthSpring
  • UnitedHealthcare
  • Transamerica
  • Tricare
  • Aetna
  • AARP
  • Cigna
  • State Farm
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  • Cancer 74
  • Cardiology, Heart & Vascular Surgery 71
  • Orthopedics 114
  • Neurology & Neurosurgery 94
  • Gastroenterology & GI Surgery 120
  • Pulmonology & Lung Surgery 120
  • Diabetes & Endocrinology 62
  • Children's Hospital 16
  • Urology 119
  • Psychiatry 65
  • Geriatrics 94
  • Rehabilitation 70
  • Obsterics & Gynecology 13
  • Ophthalmology 2
  • Ear, Nose & Throat 10
  • Rheumatology 1
  • Long Term Care 23
  • Maternity Care (Uncomplicated Pregnancy) 36