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Contact Information

DRS CLACK SPENCER WHITE & MCCORMACK PA
2001 WEBBER ST
SARASOTA, FL34239-5237
 Phone: 941-362-8900
 Fax: 941-362-8933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
 

Cytopathology

207ZC0500X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for DRS CLACK SPENCER WHITE MCCORMACK PA · (Female)

NPI Number 1265494702
Status Active
Credentials
Entity Individual
Enumeration date 04/03/2006
Last updated 05/16/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • FL License # 800000813
  • FL Medicaid 058166600
  • FL Other L8218 BCBS LAB
  • FL Other 99676 BLUE SHIELD
  • FL Other 690005346 PALMETTO GBA
  • FL Other 209040 STAYWELL
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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