Dr. Ralph Eugene Massullo Jr., MD
Dr. Ralph Eugene Massullo Jr., MD is a Dermatology in Lecanto, Florida. Graduated from West Virginia University School of Medicine in 1985, 41 years ago. Practices with Suncoast Skin Solutions, a 99-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 41
- Trained at
- West Virginia University School of Medicine
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 4
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
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
| MOHS-Micrographic Surgery Physician (primary) | Taxonomy 207ND0101X · Licence ME54469 (FL) |
|---|---|
| Dermatology Physician | Taxonomy 207N00000X · Licence ME54469 (FL) |
| Dermatopathology Physician | Taxonomy 207ND0900X · Licence ME54469 (FL) |
| Procedural Dermatology Physician | Taxonomy 207NS0135X · Licence ME54469 (FL) |
Record details
| NPI number | 1104810563 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 31, 2005 |
| Last updated in NPPES | November 12, 2022 |
| Certification date | November 12, 2022 |
| Mailing address | 4651 Van Dyke Rd, Lutz, FL 33558-4880 |
Medicare enrollment
| Medicare specialty | DERMATOLOGY |
|---|---|
| Medical school | WEST VIRGINIA UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 1985 (41 years in practice) |
| Group practice | Suncoast Skin Solutions — 99 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lecanto
-
Dr. Brett Patrick Blake, MD
525 N Dacie Pt, Lecanto, FL 34461-8399 · (813) 321-1786
-
Suncoast Dermatology and Skin Surgery Center, PA
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