Suncoast Dermatology And Skin Surgery Center, Pa

LBN: Suncoast Dermatology And Skin Surgery Center, Pa
Suncoast Dermatology And Skin Surgery Center, Pa is an health care organization with primary practice located at 525 N Dacie Pt , Lecanto FL 34461-8399. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Suncoast Dermatology And Skin Surgery Center, Pa can be contacted via phone (352) 746-2200, or through Massullo, Ralph Eugene via phone (352) 746-2200.

Contact Information

Primary practice address
525 N Dacie Pt Lecanto FL 34461-8399
Phone: (352) 746-2200
Fax: (352) 746-9320
Website:
Map and Directions
Authorized official contact:
Name: Massullo, Ralph Eugene Doctor of Medicine (MD)
Phone: (352) 746-2200

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X
Allopathic & Osteopathic Physicians / Dermatopathology 207ND0900X
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X

Profile Details

NPI number 1902890239
LBN Legal business name Suncoast Dermatology And Skin Surgery Center, Pa
DBA Doing business as
Authorized official Massullo, Ralph Eugene Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 1st, 2005
Last updated Nov 15th, 2011 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902890239 NPPES
Florida Other CA6816 SRRGA
Florida MEDICAID 377238100 SRRGA

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