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Spencer Dermatology & Skin Surgery Center Llc
Specialist in St Petersburg, Florida
NPI 1104023324

Spencer Dermatology & Skin Surgery Center Llc is a Specialist based in St Petersburg, FL. Spencer Dermatology & Skin Surgery Center Llc practices in St Petersburg, FL. The NPI Number for Spencer Dermatology & Skin Surgery Center Llc is 1104023324 and holds a License No. ME68471 (Florida).

The current practice location address for Spencer Dermatology & Skin Surgery Center Llc is 900 Carillon Pkwy, St Petersburg, FL and can be reached out via phone at 727-572-1333 and via fax at 727-572-1331.

Location: 900 Carillon Pkwy, St Petersburg, FL, 33716-1115
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1104023324
Provider Name
Spencer Dermatology & Skin Surgery Center Llc
Credential
Provider Entity Type
Organization
Address
900 Carillon Pkwy, St Petersburg, FL, 33716-1115
Phone Number
727-572-1333
Fax Number
727-572-1331
Provider Enumeration Date
06/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1730102385 01 FL NPI INDIVIDUAL NUMBER
institution
Provider Business Practice Location Address Details
Address
900 Carillon Pkwy
City
St Petersburg
State
Florida
Zip
33716-1115
Phone Number
727-572-1333
Fax Number
727-572-1331
person
Provider Business Mailing Address Details
Address
900 Carillon Pkwy
City
St Petersburg
State
Florida
Zip
33716-1115
Phone Number
727-572-1333
Fax Number
727-572-1331
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME68471 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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