Spencer Bezalel, MD

Dermatology, MOHS-Micrographic Surgery in Sarasota, FL. Individual provider (NPI-1).

NPI number1477932341

StatusActive

Last updated in NPPESOct 27, 2021

Details

NPI: 1477932341
Entity type: Individual (NPI-1)
Name: Spencer Bezalel
Credential: MD
Sex: Male
Sole proprietor: No
Enumeration date: May 26, 2015
Certification date: Oct 27, 2021
Last updated: Oct 27, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207ND0101X	Dermatology, MOHS-Micrographic Surgery	ME150980	FL	Yes
207N00000X	Dermatology	ME150980	FL
207ND0101X	Dermatology, MOHS-Micrographic Surgery	MD.40572	AL
207N00000X	Dermatology	MD.40572	AL
207NS0135X	Dermatology, Procedural Dermatology	MD.40572	AL

Practice location

2001 Siesta Dr
Sarasota, FL 34239-5200

Phone 813-321-1786 · Fax 813-321-1787

Mailing address

4651 Van Dyke Rd
Lutz, FL 33558-4880

Phone 813-321-1786 · Fax 813-321-1787

Other practice locations

500 Vonderburg Dr Ste 202e
Brandon, FL 33511-5999

Phone 813-321-1786 · Fax 813-321-1787

14095 Cortez Blvd
Brooksville, FL 34613-5794

Phone 813-321-1786 · Fax 813-321-1787

5200 Seminole Blvd
St Petersburg, FL 33708-3356

Phone 813-321-1786 · Fax 813-321-1787

500 Vonderburg Dr Ste 115w
Brandon, FL 33511-5969

Phone 813-321-1786 · Fax 813-321-1787

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