| NPI | 1467568477 |
|---|---|
| Doing Business As | SOUTH TAMPA DERMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JAMES G FLYNN Treasurer 813-872-9551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME66332) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2020-08-22 |