Suncoast Dermatology And Skin Surgery Center, Pa in Lecanto - Dermatology
Suncoast Dermatology And Skin Surgery Center, Pa - NPI 1902890239
Suncoast Dermatology And Skin Surgery Center, Pa is a Dermatology in Lecanto, Florida. Suncoast Dermatology And Skin Surgery Center, Pa practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Suncoast Dermatology And Skin Surgery Center, Pa is 1902890239. The last update date is 2011-11-15.
Suncoast Dermatology And Skin Surgery Center, Pa's current location address is 525 N Dacie Pt, Lecanto, Florida. You can contact this provider via phone number 3527462200 and fax number 3527469320. The mailing address for Suncoast Dermatology And Skin Surgery Center, Pa is 525 N Dacie Pt, Lecanto, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Suncoast Dermatology And Skin Surgery Center, Pa |
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Address | 525 N Dacie Pt, Lecanto, Florida |
Phone Number | 3527462200 |
Fax Number | 3527469320 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Massullo Eugene Ralph |
Credentials | MD |
Telephone Number | 3527462200 |
NPI Number Detail
NPI Number | 1902890239 |
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Provider Enumeration Date | 2005-09-01 |
Last Updated Date | 2011-11-15 |
Provider Mailing Address Detail
Address | 525 N Dacie Pt |
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City | Lecanto |
State | Florida (FL) |
Post Code | 344618399 |
Phone Number | 3527462200 |
Fax Number | 3527469320 |
Provider's Primary Taxonomy Detail
Speciality | Dermatology |
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Taxonomy | 207N00000X |
Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
CA6816 | FL | SRRGA | |
377238100 | FL | -- |
Post Comment/ Review Below
What is the Suncoast Dermatology And Skin Surgery Center, Pa's unique identification number?
The Suncoast Dermatology And Skin Surgery Center, Pa has been assigned the NPI (National Provider Identifier) Number 1902890239 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Suncoast Dermatology And Skin Surgery Center, Pa?
The Suncoast Dermatology And Skin Surgery Center, Pa is situated at 525 N Dacie Pt, in the city of Lecanto, state of FL, with the zip code 344618399.
What is the Suncoast Dermatology And Skin Surgery Center, Pa's specialty and taxonomy code?
The Suncoast Dermatology And Skin Surgery Center, Pa's specialty is Dermatology, and the corresponding taxonomy code is 207N00000X.
On what date was the 1902890239 assigned to Suncoast Dermatology And Skin Surgery Center, Pa?
The Suncoast Dermatology And Skin Surgery Center, Pa was issued its 1902890239 on 2005-09-01, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Suncoast Dermatology And Skin Surgery Center, Pa, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Suncoast Dermatology And Skin Surgery Center, Pa, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-15.
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