Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spencer Dermatology & Skin Surgery Center LLC

Organization Specialist · NPI 1104023324

Spencer Dermatology & Skin Surgery Center LLC provides Specialist services in St Petersburg, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

900 Carillon Pkwy Ste 404
St Petersburg, FL 33716-1115 Not confirmed with CMS for 14 years — call before visiting
Phone: (727) 572-1333
Fax: (727) 572-1331
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence ME68471 (FL)

Record details

NPI number1104023324
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Spencer — Ceo · (727) 572-1333
NPI enumeratedJune 29, 2007
Last updated in NPPESJune 14, 2012
Mailing address900 Carillon Pkwy, Suite 404, St Petersburg, FL 33716-1115

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