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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

NPI # 1265494702
LBN Legal business name DRS CLACK SPENCER WHITE & MCCORMACK PA
Authorized official J SPENCER - (TREASURER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/03/2006
Last updated 05/16/2012 - About 14 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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