Organization · NPI-2

Associates & Affiliates In Dermatology LLC

Dermatology, Dermatopathology · Tampa, FL

NPI number1548739246
StatusActive
Last updated in NPPESNov 26, 2018

Details

NPI
1548739246
Entity type
Organization (NPI-2)
Legal business name
Associates & Affiliates In Dermatology LLC
Organization subpart
No
Enumeration date
Nov 26, 2018
Last updated
Nov 26, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ND0900X Dermatology, Dermatopathology––Yes

Practice location

5210 Webb Rd Ste B
Tampa, FL 33615-4518

Phone 813-341-1475 · Fax 813-885-5015

Mailing address

5210 Webb Rd Ste B
Tampa, FL 33615-4518

Phone 813-341-1475 · Fax 813-885-5015

Authorized official

Panayiotis Vasiloudes
President/Ceo
8133411475

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