Spencer Provan, RPH - Pharmacist in Lake Placid, FL

Spencer Provan, RPH is a Pharmacist based in Lake Placid, Florida. Spencer Provan is licensed to practice in Florida (license number PS17671) and his current practice location is 1208 Driscoll Dr, Lake Placid, Florida. He can be reached at his office (for appointments etc.) via phone at (863) 385-9929.

NPI number for Spencer Provan is 1245511286 and his current mailing address is 1208 Driscoll Dr, Lake Placid, Florida. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1245511286.

Contact Information

Spencer Provan, RPH
1208 Driscoll Dr,
Lake Placid, FL 33852-9647
(863) 385-9929
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameSpencer Provan
GenderMale
SpecialityPharmacist
Location1208 Driscoll Dr, Lake Placid, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245511286
  • Provider Enumeration Date: 09/05/2011
  • Last Update Date: 09/05/2011

Medical Identifiers

Medical identifiers for Spencer Provan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245511286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
183500000XPharmacist PS17671 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Spencer Provan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Spencer Provan, RPH
1208 Driscoll Dr,
Lake Placid, FL 33852-9647

Ph: () -
Spencer Provan, RPH
1208 Driscoll Dr,
Lake Placid, FL 33852-9647

Ph: (863) 385-9929

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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