Spencer, Roger W

Spencer, Roger W is an sole proprietor health care provider with primary practice located at 804 Highway 466 , Lady Lake FL 32159. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Interventional Pain Medicine is his primary health care specialty. Spencer, Roger W can be contacted via phone (352) 267-9170.

Contact Information

Primary practice address
804 Highway 466 Lady Lake FL 32159
Phone: (352) 267-9170
Fax: (904) 701-6288
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X ME60172 Florida
Allopathic & Osteopathic Physicians / Addiction Medicine 207LA0401X ME60172 Florida
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME60172 Florida

Profile Details

NPI number 1922116052
LBN Legal business name Spencer, Roger W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 28th, 2006
Last updated Aug 15th, 2018 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1922116052 NPPES
Florida Other 25684 BC BS
Florida MEDICAID 267352500 BC BS

Popular Providers