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Contact Information

ROGER W SPENCER, MD
804 HIGHWAY 466
LADY LAKE, FL32159
 Phone: 352-267-9170
 Fax: 904-701-6288
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Interventional Pain Medicine

208VP0014X 09 Physician/Interventional Pain Management
 

Addiction Medicine

207LA0401X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
Indicates primary specialty

NPI Profile & details for ROGER W SPENCER · (Male)

NPI # 1922116052
Status Active
Credentials MD
Entity Individual
Enumeration date 08/28/2006
Last updated 08/15/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME60172
  • FL Medicaid 267352500
  • FL Other 25684 BC BS
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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