Integrated Dermatology Of Tampa, Llc

NPI 1144637364 - Physician Assistant - 363A00000X

NPI Details
NPI 1144637364
Enumeration Date 07/21/2014
Last Updated 07/21/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JEFFREY JEFFREY
Position MANAGER
Phone (813) 978-8888
Fax (813) 972-8974
Practice Location
15310 AMBERLY DR
SUITE 150
TAMPA FL, 33647-2199, US
Phone (813) 978-8888
Fax (813) 972-8974
Business Location
902 CLINT MOORE RD
SUITE 226
BOCA RATON FL, 33487-2800, US
Phone (561) 314-2000
Fax
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Integrated Dermatology Of Tampa, Llc NPI is 1144637364, taxonomy code is 363A00000X Integrated Dermatology Of Tampa, Llc physically located at 15310 Amberly Dr, Tampa FL, 33647-2199. NPI Number 1033115704 has the healthcare provider type.

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1144637364 NPI number is provided on an as is basis without warranty of any kind. 1144637364 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Dermatology Of Tampa, Llc are for informational purposes only.