Spencer, Stephen A

Spencer, Stephen A is an sole proprietor health care provider with primary practice located at 1617 Tamiami Trl , Port Charlotte FL 33948-1040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Spencer, Stephen A can be contacted via phone (941) 613-2400.

Contact Information

Primary practice address
1617 Tamiami Trl Port Charlotte FL 33948-1040
Phone: (941) 613-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME0047672 Florida

Profile Details

NPI number 1104814235
LBN Legal business name Spencer, Stephen A
Credentials MD PA
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2005
Last updated May 10th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104814235 NPPES
Florida Other 5872736 AETNA
Florida Other 08153 AETNA
Florida Other 6417334 AETNA
Florida Other 1255052 AETNA

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