Provider Demographics
NPI:1538441811
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:PRACTICE ADMINSITRATO
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 1:12903 N 56TH ST
Mailing Address - Street 2:
Mailing Address - City:TEMPLE TERRACE
Mailing Address - State:FL
Mailing Address - Zip Code:33617-1225
Mailing Address - Country:US
Mailing Address - Phone:813-987-2000
Mailing Address - Fax:813-987-2135
Practice Address - Street 1:12903 N 56TH ST
Practice Address - Street 2:
Practice Address - City:TEMPLE TERRACE
Practice Address - State:FL
Practice Address - Zip Code:33617-1225
Practice Address - Country:US
Practice Address - Phone:813-987-2000
Practice Address - Fax:813-987-2135
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-13
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
207W00000XOtherTAXOMOMY
207W00000XOtherTAXOMOMY