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South Tampa Dermatology Pl
Specialist in Tampa, Florida
NPI 1467568477

South Tampa Dermatology Pl is a Specialist based in Tampa, FL. South Tampa Dermatology Pl practices in Tampa, FL. The NPI Number for South Tampa Dermatology Pl is 1467568477 and holds a License No. ME66332 (Florida).

The current practice location address for South Tampa Dermatology Pl is 2605 W Swann Ave, Tampa, FL and can be reached out via phone at 813-872-9551 and via fax at 813-872-9554.

Location: 2605 W Swann Ave, Tampa, FL, 33609-4039
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467568477
Provider Name
South Tampa Dermatology Pl
Credential
Provider Entity Type
Organization
Address
2605 W Swann Ave, Tampa, FL, 33609-4039
Phone Number
813-872-9551
Fax Number
813-872-9554
Provider Enumeration Date
08/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26291A 01 FL BCBS
institution
Provider Business Practice Location Address Details
Address
2605 W Swann Ave
City
Tampa
State
Florida
Zip
33609-4039
Phone Number
813-872-9551
Fax Number
813-872-9554
person
Provider Business Mailing Address Details
Address
2605 W Swann Ave
City
Tampa
State
Florida
Zip
33609-4039
Phone Number
813-872-9551
Fax Number
813-872-9554
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
ME66332 (Florida)
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.
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