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SPENCER PROVAN RPH
NPI 1245511286
Pharmacist in Lake Placid, FL

Active since September 05, 2011
1208 DRISCOLL DR, LAKE PLACID, FL 33852(863) 385-9929 Get Directions Write a Review

NPPES record last updated: September 5, 2011. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Spencer Provan Rph NPPES

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

SPENCER PROVAN RPH (NPI 1245511286) is an individual pharmacist in Lake Placid, Florida, licensed in Florida (PS17671) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1245511286
Entity TypeIndividualMale
Primary Taxonomy183500000X
Provider Legal NameSPENCER PROVANCredential: RPH
Location Address1208 DRISCOLL DRLake Placid, FL 33852-9647
Mailing Address1208 Driscoll DrLake Placid, FL 33852-9647
Phone(863) 385-9929
Sole ProprietorYes
Enumeration DateSeptember 5, 2011
✔ NPI 1245511286 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPharmacistPharmacy Service Providers
Taxonomy Code183500000X
License✔ Licensed in FL · PS17671
Definition
An individual licensed by the appropriate state regulatory agency to engage in the practice of pharmacy. The practice of pharmacy includes, but is not limited to, assessment, interpretation, evaluation, and implementation, initiation, monitoring or modification of medication and or medical orders; the compounding or dispensing of medication and or medical orders; participation in drug and device procurement, storage, and selection; drug administration; drug regimen reviews; drug or drug-related research; provision of patient education and the provision of those acts or services necessary to provide medication therapy management services in all areas of patient care.
1208 DRISCOLL DR, Lake Placid, FL 33852
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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 Provan's NPI number?

The NPI number for Spencer Provan is 1245511286. It was assigned to this individual provider in the NPPES registry on September 5, 2011.

Where is Spencer Provan located?

Spencer Provan practices at 1208 Driscoll Dr, Lake Placid, FL 33852. The listed phone number is (863) 385-9929.

What is Spencer Provan's specialty?

The primary specialty registered for this NPI is Pharmacist with taxonomy code 183500000X.

When was this NPI record last updated?

The NPPES record for Spencer Provan was last updated on September 5, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.