Healthcare Provider Details

I. General information

NPI: 1205954666
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: 03/26/2007
Last Update Date: 08/13/2024
Certification Date: 08/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4344 CENTRAL AVE
ST PETERSBURG FL
33711-1141
US

IV. Provider business mailing address

4344 CENTRAL AVE
ST PETERSBURG FL
33711-1141
US

V. Phone/Fax

Practice location:
  • Phone: 727-323-0077
  • Fax: 727-323-7627
Mailing address:
  • Phone: 727-323-0077
  • Fax: 727-323-7627

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207WX0107X
TaxonomyRetina Specialist (Ophthalmology) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number
License Number State

VIII. Authorized Official

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