MEDICARE: PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207WX0107X	Retina Specialist (Ophthalmology) Physician
2	207W00000X	Ophthalmology Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB2164	OTHER	FL	RAILROAD MEDICARE
2	DD4629	OTHER	FL	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1881712859
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA

Provider Business Mailing Address
First Line	:	2705 W SAINT ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6319
Country	:	US
Telephone Number	:	813-879-5795
Fax Number	:	813-877-4578

Provider Business Practice Location Address
First Line	:	2705 W SAINT ISABEL ST
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-6319
Country	:	US
Telephone Number	:	813-879-5795
Fax Number	:	813-877-4578

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	PAMELA JANE PAUTLER
Credential	:	ESQ
Telephone Number	:	813-879-5795

Provider Enumeration Date	:	03/27/2007
Last Update Date	:	08/13/2024

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