COASTAL DERMATOLOGY AND SKIN CANCER CENTER
NPI 1841244266
Specialist in Port Charlotte, FL

Active since May 20, 2006
1617 TAMIAMI TRL, PORT CHARLOTTE, FL 33948(941) 613-2400(941) 613-2401 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Coastal Dermatology And Skin Cancer Center NPPES

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

COASTAL DERMATOLOGY AND SKIN CANCER CENTER (NPI 1841244266) is a healthcare organization registered as a specialist in Port Charlotte, Florida and active in the NPI registry since May 2006. The organization lists Stephen A Spencer, President/physician, as its authorized official.

NPPES Registry Identity

NPI1841244266
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameSTEPHEN A SPENCER MD PA
Location Address1617 TAMIAMI TRLPort Charlotte, FL 33948-1040
Mailing AddressPo Box 494710Port Charlotte, FL 33949-1040 · (941) 613-2400 · Fax (941) 613-2401
Fax(941) 613-2401
Organization SubpartNo
Authorized OfficialStephen A SpencerPresident/physician · (941) 613-2400
Enumeration DateMay 20, 2006
Last NPPES UpdateJuly 6, 2010
NPI 1841244266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in FL · ME0047672
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.
1617 TAMIAMI TRL, Port Charlotte, FL 33948

Other Names 1

Doing Business AsCoastal Dermatology And Skin Cancer Center

Other Identifiers 4

Medicare UPIND61552FL
Medicare ID-Type UnspecifiedK2160FL · Medicare Group Number
Other00824FL · Bc/bs Florida Group Numbe
OtherCH1886FL · Railroad Medicare Group

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 5

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

Dermatology
1617 TAMIAMI TRL
PORT CHARLOTTE, FL 33948
Nurse Practitioner (Family)
1617 TAMIAMI TRL
PORT CHARLOTTE, FL 33948
Dermatology
1617 TAMIAMI TRL
PORT CHARLOTTE, FL 33948
Nurse Practitioner
1617 TAMIAMI TRL
PORT CHARLOTTE, FL 33948
Nurse Practitioner
1617 TAMIAMI TRL
PORT CHARLOTTE, FL 33948

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 Stephen A Spencer MD PA's NPI number?

The NPI number for Stephen A Spencer MD PA is 1841244266. It was assigned to this organization in the NPPES registry on May 20, 2006. The provider is doing business as Coastal Dermatology And Skin Cancer Center.

Where is Stephen A Spencer MD PA located?

Stephen A Spencer MD PA is located at 1617 Tamiami Trl, Port Charlotte, FL 33948. The listed phone number is (941) 613-2400.

What is Stephen A Spencer MD PA'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 Stephen A Spencer MD PA was last updated on July 6, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.