SUNCOAST DERMPATH LABORATORY & CONSULTATION LLC NPI 1013239219

NPI Information

NPI: 1013239219
Provider Name: SUNCOAST DERMPATH LABORATORY & CONSULTATION, LLC
Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
4431 WALTHAM DR
TAMPA, FL
ZIP 33634
Phone: (813) 598-2893
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SUNCOAST DERMPATH LABORATORY & CONSULTATION, LLC is a dermatopathology dermatology in Tampa, FL. The provider is a dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. SUNCOAST DERMPATH LABORATORY & CONSULTATION, LLC NPI is 1013239219. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4431 WALTHAM DR
TAMPA, FL
ZIP 33634-345
Phone: (813) 598-2893
Fax: (888) 427-8643

The provider's authorized official is Shurun Zhao .
The authorized official title is President and has the following contact phone number (813) 598-2893.

The enumeration date for this NPI number is 2/16/2010 and was last updated on 9/2/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207ZP0102X	Pathology	Anatomic Pathology & Clinical Pathology	ME99158	FLORIDA	No
2	207ND0900X	Dermatology	Dermatopathology	ME99158	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	280544800	MEDICAID	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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