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Organization
STEPHEN A SPENCER MD.,PA
Active
Organization
STEPHEN A SPENCER MD.,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN A SPENCER MD (PRESIDENT/PHYSICIAN)
(941) 833-4400
Entity
Organization
Contact information
Practice address
1111 TAMIAMI TRL, PUNTA GORDA, FL 33950-5526
(941) 833-4400
(941) 833-4401
Mailing address
1111 TAMIAMI TRL, PUNTA GORDA, FL 33950-5526
(941) 833-4400
(941) 833-4401
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0047672
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00824
BC/BS FL GROUP NUMBER
FL
Enumeration date
06/01/2006
Last updated
08/22/2020
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