Suncoast Dermatology and Skin Surgery Center, PA
Suncoast Dermatology and Skin Surgery Center, PA is a Dermatology Physician in Lecanto, Florida. Registered with an NPI since 2005.
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- PA — Professional association
- A form of business registration, not a clinical qualification.
Practice location Address checks out
525 N Dacie PtLecanto, FL 34461-8399
Phone: (352) 746-2200
Fax: (352) 746-9320
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Dermatopathology Physician | Taxonomy 207ND0900X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1902890239 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ralph Massullo — President · (352) 746-2200 |
| NPI enumerated | September 1, 2005 |
| Last updated in NPPES | November 15, 2011 |
| Mailing address | 525 N Dacie Pt, Lecanto, FL 34461-8399 |
Other providers in Lecanto
-
Dr. Brett Patrick Blake, MD
525 N Dacie Pt, Lecanto, FL 34461-8399 · (813) 321-1786
-
Dr. Ralph Eugene Massullo Jr., MD
525 N Dacie Pt, Lecanto, FL 34461-8399 · (352) 746-2200
-
Dr. William Arch Welton III, MD
525 N Dacie Pt, Lecanto, FL 34461-8399 · (352) 746-2200