South Tampa Dermatology Pl in Tampa - Specialist
South Tampa Dermatology Pl - NPI 1467568477
South Tampa Dermatology Pl is a Specialist in Tampa, Florida. South Tampa Dermatology Pl practices all healthcare services and medical treatments related to Specialist. The NPI Number for South Tampa Dermatology Pl is 1467568477. The last update date is 2020-08-22.
South Tampa Dermatology Pl's current location address is 2605 W Swann Ave, Tampa, Florida. You can contact this provider via phone number 8138729551 and fax number 8138729554. The mailing address for South Tampa Dermatology Pl is 2605 W Swann Ave, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Tampa Dermatology Pl |
|---|---|
| Address | 2605 W Swann Ave, Tampa, Florida |
| Phone Number | 8138729551 |
| Fax Number | 8138729554 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | TREASURER |
|---|---|
| Authorized Official Name | Flynn G James |
| Telephone Number | 8138729551 |
NPI Number Detail
| NPI Number | 1467568477 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2605 W Swann Ave |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336094039 |
| Phone Number | 8138729551 |
| Fax Number | 8138729554 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | ME66332 |
|
Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26291A | FL | BCBS |
Post Comment/ Review Below
What is the unique identification code assigned to South Tampa Dermatology Pl by the Centers for Medicare & Medicaid Services?
The South Tampa Dermatology Pl has been issued the NPI (National Provider Identifier) 1467568477. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where South Tampa Dermatology Pl is physically located?
The South Tampa Dermatology Pl is physically situated at the following address: 2605 W Swann Ave, Tampa, FL, 336094039.
What is South Tampa Dermatology Pl's specialized field of practice, and what is the corresponding taxonomy classification code?
The South Tampa Dermatology Pl's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
When was the South Tampa Dermatology Pl's 1467568477 issued?
The South Tampa Dermatology Pl's 1467568477 was issued on 2006-08-22.
When was the South Tampa Dermatology Pl's information last updated?
The South Tampa Dermatology Pl's information was last updated on 2020-08-22.