| NPI | 1104891936 |
|---|---|
| Doing Business As | TAMPA PALMS DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | GLENDA STANLEY Office Manager 813-978-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME47991) |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2009-01-22 |