Healthcare Provider Details

I. General information

NPI: 1588384093
Provider Name (Legal Business Name): PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3384 TAMPA RD
PALM HARBOR FL
34684-3425
US

IV. Provider business mailing address

2705 W SAINT ISABEL ST
TAMPA FL
33607-6319
US

V. Phone/Fax

Practice location:
  • Phone: 727-333-9055
  • Fax: 727-333-9045
Mailing address:
  • Phone: 813-879-5795
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State

VIII. Authorized Official

Name: PAMELA JANE PAUTLER
Title or Position: PRACTICE ADMINISTRATOR
Credential: ESQ
Phone: 813-879-5795