Provider Demographics
NPI:1205954666
Name:PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA
Entity type:Organization
Organization Name:PAUTLER COHEN FINDLAY EICHENBAUM WHITE AND CRANE MDS PA
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:PAUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:ESQ
Authorized Official - Phone:813-879-5795
Mailing Address - Street 1:4344 CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:ST PETERSBURG
Mailing Address - State:FL
Mailing Address - Zip Code:33711-1141
Mailing Address - Country:US
Mailing Address - Phone:727-323-0077
Mailing Address - Fax:727-323-7627
Practice Address - Street 1:4344 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33711-1141
Practice Address - Country:US
Practice Address - Phone:727-323-0077
Practice Address - Fax:727-323-7627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-26
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
No207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina SpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLCB2164OtherRAILROAD MEDICARE
FLDD4629OtherRAILROAD MEDICARE
FL99920EMedicare PIN