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1104814235
STEPHEN A SPENCER
PORT CHARLOTTE, FL
NPI
1104814235
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207N00000X Dermatology
(Licence: FL ME0047672)
Enumeration Date
2005-10-12
Last Update Date
2019-05-10
Business Address
STEPHEN A SPENCER MD PA
1617 TAMIAMI TRL
PORT CHARLOTTE, FL 33948-1040
Phone number: 941-613-2400
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Mailing Address
STEPHEN A SPENCER MD PA
151 SOUTHHALL LN STE 300
MAITLAND, FL 32751-7172
Phone number: 407-875-2080
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