Suncoast Dermatology And Skin Surgery Center, Pa in Lecanto - Mohs-micrographic Surgery
Suncoast Dermatology And Skin Surgery Center, Pa - NPI 1902890239
Suncoast Dermatology And Skin Surgery Center, Pa is a Mohs-micrographic Surgery in Lecanto, Florida. Suncoast Dermatology And Skin Surgery Center, Pa practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. 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 |
|---|---|
| Address | 525 N Dacie Pt, Lecanto, Florida |
| Phone Number | 3527462200 |
| Fax Number | 3527469320 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Massullo Eugene Ralph |
| Credentials | MD |
| Telephone Number | 3527462200 |
NPI Number Detail
| NPI Number | 1902890239 |
|---|---|
| Provider Enumeration Date | 2005-09-01 |
| Last Updated Date | 2011-11-15 |
Provider Mailing Address Detail
| Address | 525 N Dacie Pt |
|---|---|
| City | Lecanto |
| State | Florida (FL) |
| Post Code | 344618399 |
| Phone Number | 3527462200 |
| Fax Number | 3527469320 |
Provider's Primary Taxonomy Detail
| Speciality | Mohs-micrographic Surgery |
|---|---|
| Taxonomy | 207Nd0101X |
|
Definition: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving |
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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 Mohs-micrographic Surgery, and the corresponding taxonomy code is 207Nd0101X.
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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