Spencer, James Robert

Spencer, James Robert is an individual health care provider with primary practice located at 2001 Webber St , Sarasota FL 34239-5288. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology, which is considered as his primary health care specialty. Spencer, James Robert can be contacted via phone (941) 362-8900.

Contact Information

Primary practice address
2001 Webber St Sarasota FL 34239-5288
Phone: (941) 362-8900
Fax: (941) 362-8987
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology 207ZC0006X ME15499 Florida

Profile Details

NPI number 1013919042
LBN Legal business name Spencer, James Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 4th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013919042 NPPES
Florida Other 29607 BLUE SHIELD
Florida MEDICAID 058284100 BLUE SHIELD

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