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FREEPATH PL NPI 1689867418


NPI Information

NPI: 1689867418
Provider Name: FREEPATH PL
Classification: Dermatology - 207NI0002X
Entity Type: Organization

Specialization: Clinical & Laboratory Dermatological Immunology

Address:
4412 W OSBORNE AVE
TAMPA, FL
ZIP 33614
Phone: (239) 278-1155
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FREEPATH PL is a clinical and laboratory dermatological immunology dermatology in Tampa, FL. The provider is a dermatologist who utilizes various specialized laboratory procedures to diagnose disorders characterized by defective responses of the body's immune system. Immunodermatologists also may provide consultation in the management of these disorders and administer specialized forms of therapy for these diseases. FREEPATH PL NPI is 1689867418. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4412 W OSBORNE AVE
TAMPA, FL
ZIP 33614-963
Phone: (239) 278-1155

The provider's authorized official is Judi Richardson .
The authorized official title is Controller and has the following contact phone number (239) 278-1155.

The enumeration date for this NPI number is 8/24/2007 and was last updated on 8/24/2007.


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
1207NI0002XDermatologyClinical & Laboratory Dermatological ImmunologyYes

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
134758MEDICARE 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.