Palm Harbor Dermatology Pa in Tampa - Mohs-micrographic Surgery
Palm Harbor Dermatology Pa - NPI 1497927016
Palm Harbor Dermatology Pa is a Mohs-micrographic Surgery in Tampa, Florida. Palm Harbor Dermatology Pa practices all healthcare services and medical treatments related to Mohs-micrographic Surgery. The NPI Number for Palm Harbor Dermatology Pa is 1497927016. The last update date is 2021-07-27.
Palm Harbor Dermatology Pa's current location address is 4919 Memorial Hwy Ste 150, Tampa, Florida. You can contact this provider via phone number 8133331512 and fax number 8133331561. The mailing address for Palm Harbor Dermatology Pa is 4919 Memorial Hwy Ste 150, Tampa, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Palm Harbor Dermatology Pa |
|---|---|
| Address | 4919 Memorial Hwy Ste 150, Tampa, Florida |
| Phone Number | 8133331512 |
| Fax Number | 8133331561 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Ross Simon Amy |
| Credentials | MD |
| Telephone Number | 8133331512 |
NPI Number Detail
| NPI Number | 1497927016 |
|---|---|
| Provider Enumeration Date | 2008-03-25 |
| Last Updated Date | 2021-07-27 |
Provider Mailing Address Detail
| Address | 4919 Memorial Hwy Ste 150 |
|---|---|
| City | Tampa |
| State | Florida (FL) |
| Post Code | 336347516 |
| Phone Number | 8133331512 |
| Fax Number | 8133331561 |
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 |
|---|---|---|---|
| 000WR | FL | FLORIDA BLUE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Palm Harbor Dermatology Pa by the Centers for Medicare & Medicaid Services?
The Palm Harbor Dermatology Pa has been issued the NPI (National Provider Identifier) 1497927016, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Palm Harbor Dermatology Pa is located?
The Palm Harbor Dermatology Pa is situated at the following address: 4919 Memorial Hwy Ste 150, Tampa, FL, 336347516.
What is Palm Harbor Dermatology Pa's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Palm Harbor Dermatology Pa is Mohs-micrographic Surgery, and the taxonomy classification code that categorizes this area of expertise is 207Nd0101X.
When was the Palm Harbor Dermatology Pa's 1497927016 issued?
The Palm Harbor Dermatology Pa's 1497927016 was issued on 2008-03-25.
As of what date were the details related to Palm Harbor Dermatology Pa most recently updated or revised?
The information pertaining to Palm Harbor Dermatology Pa, including its address, specialty, and other relevant details, was last updated or revised on 2021-07-27.