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

Stephen A Spencer, MD, PA

Individual provider Dermatology Physician · NPI 1104814235

Stephen A Spencer, MD, PA is a Dermatology in Port Charlotte, Florida. Graduated from University of South Florida College of Medicine in 1982, 44 years ago. Practices with Leavitt Medical Associates of Florida Inc, a 195-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
44
Trained at
University of South Florida College of Medicine
Licensed in
FL
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1617 Tamiami Trl
Port Charlotte, FL 33948-1040
Phone: (941) 613-2400
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence ME0047672 (FL)

Record details

NPI number1104814235
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PA
Sole proprietorYes
NPI enumeratedOctober 12, 2005
Last updated in NPPESMay 10, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Also practisesMICROGRAPHIC DERMATOLOGIC SURGERY (MDS)
Medical schoolUNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Leavitt Medical Associates Of Florida Inc — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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