Organization
SPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES MONTGOMERY SPENCER M.D., M.S. (CEO)
(727) 572-1333
Entity
Organization
Contact information
Practice address
900 CARILLON PKWY, SUITE 404, ST PETERSBURG, FL 33716-1115
(727) 572-1333
(727) 572-1331
Mailing address
900 CARILLON PKWY, SUITE 404, ST PETERSBURG, FL 33716-1115
(727) 572-1333
(727) 572-1331
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME68471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730102385
NPI INDIVIDUAL NUMBER
FL
Enumeration date
06/29/2007
Last updated
06/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us