Organization · Type 2 NPI

Spencer Dermatology & Skin Surgery Center LLC

Specialist · St. Petersburg, FL

NPI number 1104023324 Active

Practice location

900 Carillon Pkwy, Suite 404
St. Petersburg, FL 33716-1115

Call (727) 572-1333 Map

Fax (727) 572-1331

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XME68471 (FL)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1104023324

Spencer Dermatology & Skin Surgery Center LLC's National Provider Identifier is 1104023324, issued on Jun 29, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in St. Petersburg, FL. The record was last updated on Jun 14, 2012.