SPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC
NPI 1104023324
Specialist in St Petersburg, FL

Q: What is Spencer Dermatology & Skin Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since June 29, 2007

900 CARILLON PKWY, SUITE 404, ST PETERSBURG, FL 33716(727) 572-1333(727) 572-1331 Get Directions Write a Review

NPPES record last updated: June 14, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Spencer Dermatology & Skin Surgery Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC (NPI 1104023324) is a healthcare organization registered as a specialist in St Petersburg, Florida and active in the NPI registry since June 2007. The organization lists James Montgomery Spencer, Ceo, as its authorized official.

NPPES Registry Identity

NPI1104023324

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSPENCER DERMATOLOGY & SKIN SURGERY CENTER LLC

Location Address900 CARILLON PKWY, SUITE 404St Petersburg, FL 33716-1115

Mailing Address900 Carillon Pkwy, Suite 404St Petersburg, FL 33716-1115 · (727) 572-1333 · Fax (727) 572-1331

Phone(727) 572-1333

Fax(727) 572-1331

Organization SubpartNo

Authorized OfficialJames Montgomery SpencerCeo · (727) 572-1333

Enumeration DateJune 29, 2007

Last NPPES UpdateJune 14, 2012

✔ NPI 1104023324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME68471

Definition

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.

900 CARILLON PKWY, St Petersburg, FL 33716

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Other Identifiers 3

Medicare UPINF27675FL

Other1730102385FL · Npi Individual Number

Medicare ID-Type UnspecifiedK7198FL · Dermatologist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBYN MICHELE ACHE D.O.

Surgery

900 CARILLON PKWY, SUITE 401
ST PETERSBURG, FL 33716

Pinellas County (727) 289-7137

SALIM HAMADE M.D., P.A.

Internal Medicine (Infectious Disease)

900 CARILLON PKWY, SUITE 112
ST PETERSBURG, FL 33716

Pinellas County (727) 233-0111

JOHN CASIMIR DRYGAS MD

Neurological Surgery

900 CARILLON PKWY, SUITE 402A
ST PETERSBURG, FL 33716

Pinellas County (727) 480-5151

SALIM N HAMADE MD

Internal Medicine (Infectious Disease)

900 CARILLON PKWY, SUITE 112
ST PETERSBURG, FL 33716

Pinellas County (727) 233-0111

MS. LAUREN SUTTELL ARNP

Nurse Practitioner (Adult Health)

900 CARILLON PKWY, SUITE 304
ST PETERSBURG, FL 33716

Pinellas County (727) 561-0912

EATON ORTHOPAEDICS LLC

Specialist

900 CARILLON PKWY, SUITE 311
ST PETERSBURG, FL 33716

Pinellas County (727) 573-5626

BAYCARE OCCUPATIONAL HEALTH

Clinic/Center (Occupational Medicine)

900 CARILLON PKWY, SUITE 106
ST PETERSBURG, FL 33716

Pinellas County (727) 561-2417

WOMENS CARE FLORIDA LLP

Obstetrics & Gynecology

900 CARILLON PKWY, 302
ST PETERSBURG, FL 33716

Pinellas County (727) 456-0145

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Spencer Dermatology & Skin Surgery Center LLC's NPI number?

The NPI number for Spencer Dermatology & Skin Surgery Center LLC is 1104023324. It was assigned to this organization in the NPPES registry on June 29, 2007.

Where is Spencer Dermatology & Skin Surgery Center LLC located?

Spencer Dermatology & Skin Surgery Center LLC is located at 900 Carillon Pkwy Suite 404, St Petersburg, FL 33716. The listed phone number is (727) 572-1333.

What is Spencer Dermatology & Skin Surgery Center LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Spencer Dermatology & Skin Surgery Center LLC was last updated on June 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.