Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Suncoast Dermpath Laboratory & Consultation, LLC

Organization Dermatopathology Physician · NPI 1013239219

Suncoast Dermpath Laboratory & Consultation, LLC is a Dermatopathology Physician in Tampa, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4431 Waltham Dr
Tampa, FL 33634-7345
Phone: (813) 598-2893
Fax: (888) 427-8643
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatopathology Physician (primary) Taxonomy 207ND0900X · Licence ME99158 (FL)
Anatomic Pathology & Clinical Pathology Physician Taxonomy 207ZP0102X · Licence ME99158 (FL)

Record details

NPI number1013239219
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shurun Zhao — President · (813) 598-2893
NPI enumeratedFebruary 16, 2010
Last updated in NPPESSeptember 2, 2011
Mailing address4431 Waltham Dr, Tampa, FL 33634-7345

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