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HENRY E WILEY III MD PA NPI 1154519767


NPI Information

NPI: 1154519767
Provider Name: HENRY E WILEY III MD PA

Former Legal Business Name: HENRY E WILEY III MD PA

Classification: Dermatology - 207ND0900X
Entity Type: Organization

Specialization: Dermatopathology

Address:
1425 S HOWARD AVE
TAMPA, FL
ZIP 33606
Phone: (813) 253-2635
Get Directions

HENRY E WILEY III MD PA 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. HENRY E WILEY III MD PA NPI is 1154519767. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Henry E Wiley Iii Md Pa.

The provider's business location address is:

1425 S HOWARD AVE
TAMPA, FL
ZIP 33606-126
Phone: (813) 253-2635

The provider's authorized official is Henry E Wiley .
The authorized official title is President and has the following contact phone number (813) 253-2635.

The enumeration date for this NPI number is 10/9/2007 and was last updated on 11/6/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207ND0900XDermatologyDermatopathologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145391MEDICARE PINFLORIDA

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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