Stephen A Spencer in Port Charlotte - Dermatology
Stephen A Spencer - NPI 1104814235
Stephen A Spencer is a Dermatology in Port Charlotte, Florida. Stephen A Spencer practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Stephen A Spencer is 1104814235. The last update date is 2019-05-10.
Stephen A Spencer's current location address is 1617 Tamiami Trl, Port Charlotte, Florida. You can contact this provider via phone number 9416132400. The mailing address for Stephen A Spencer is 1617 Tamiami Trl, Port Charlotte, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen A Spencer |
|---|---|
| Address | 1617 Tamiami Trl, Port Charlotte, Florida |
| Phone Number | 9416132400 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MD PA |
NPI Number Detail
| NPI Number | 1104814235 |
|---|---|
| Provider Enumeration Date | 2005-10-12 |
| Last Updated Date | 2019-05-10 |
Provider Mailing Address Detail
| Address | 1617 Tamiami Trl |
|---|---|
| City | Port Charlotte |
| State | Florida (FL) |
| Post Code | 339481040 |
| Phone Number | 9416132400 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
| Licence No | ME0047672 |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5872736 | FL | AETNA | |
| 8153 | FL | BLUE CROSS/BLUE SHIELD | |
| 6417334 | FL | CIGNA | |
| 1255052 | FL | UHC |
Post Comment/ Review Below
What is the Stephen A Spencer's unique identification number?
The Stephen A Spencer has been assigned the NPI (National Provider Identifier) Number 1104814235 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Stephen A Spencer is physically located?
The Stephen A Spencer is situated at the following address: 1617 Tamiami Trl, Port Charlotte, FL 339481040.
What is the Stephen A Spencer's specialty and taxonomy code?
The Stephen A Spencer's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
When did the Stephen A Spencer receive its 1104814235?
The Stephen A Spencer was issued its 1104814235 on 2005-10-12, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Stephen A Spencer, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Stephen A Spencer, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-05-10.