Susan St.Clair Roper in Clearwater - Mohs-micrographic Surgery

Susan St.Clair Roper - NPI 1114039732

Susan St.Clair Roper is a Mohs-micrographic Surgery in Clearwater, Florida. Susan St.Clair Roper practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Susan St.Clair Roper is 1114039732. The last update date is 2022-01-13.

Susan St.Clair Roper's current location address is 2467 Enterprise Rd, Clearwater, Florida. You can contact this provider via phone number 7277911411 and fax number 7277911419. The mailing address for Susan St.Clair Roper is 2467 Enterprise Rd, Clearwater, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Name Susan St.Clair Roper
Address 2467 Enterprise Rd, Clearwater, Florida
Phone Number 7277911411
Fax Number 7277911419
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1114039732
Provider Enumeration Date 2006-08-31
Last Updated Date 2022-01-13

Provider Mailing Address Detail

Address 2467 Enterprise Rd
City Clearwater
State Florida (FL)
Post Code 337631724
Phone Number 7277911411
Fax Number 7277911419

Provider's Primary Taxonomy Detail

Speciality Mohs-micrographic Surgery
Taxonomy 207Nd0101X
Licence No 46341
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1114039732 NPI
79962 FL BLUE CROSS/BLUE SHIELD
K1008 PTAN

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FAQs about Susan St.Clair Roper

What is the unique 10-digit identifier code issued to Susan St.Clair Roper by the Centers for Medicare & Medicaid Services?

The Susan St.Clair Roper has been assigned the NPI (National Provider Identifier) 1114039732 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Susan St.Clair Roper is physically located?

The Susan St.Clair Roper is situated at the following address: 2467 Enterprise Rd, Clearwater, FL 337631724.

What is the Susan St.Clair Roper's specialty and taxonomy code?

The Susan St.Clair Roper's specialty is Mohs-micrographic Surgery, and the corresponding taxonomy code is 207Nd0101X.

When did the Susan St.Clair Roper receive its 1114039732?

The Susan St.Clair Roper was issued its 1114039732 on 2006-08-31, which is the date when the organization was assigned this unique identifier.

As of what date was the information regarding Susan St.Clair Roper, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Susan St.Clair Roper, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2022-01-13.

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