Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Spencer Dermatology & Skin Surgery Center LLC

Organization Specialist · NPI 1104023324

Spencer Dermatology & Skin Surgery Center LLC is a Specialist 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
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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