MEDICARE: SKIN PATH SERVICES, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207ZD0900X	Dermatopathology (Pathology) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	71887	OTHER	FL	BLUE CROSS BLUE SHIELD

General Provider Information

NPI Number	:	1417082769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SKIN PATH SERVICES, LLC

Provider Business Mailing Address
First Line	:	10419 CANARY ISLE DR
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33647-2713
Country	:	US
Telephone Number	:	813-785-7198
Fax Number	:

Provider Business Practice Location Address
First Line	:	7641 66TH ST
Second Line	:	SUITE C
City	:	PINELLAS PARK
State	:	FL
Zip	:	33781-3173
Country	:	US
Telephone Number	:	813-785-7198
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. SETH ROSENTHAL
Credential	:	M.D.
Telephone Number	:	813-785-7198

Provider Enumeration Date	:	02/23/2007
Last Update Date	:	08/22/2020

Similar Medicare Providers

1538264056 — DR. RAYMOND PILOT M.D.
Practice Location Address:

7641 66TH ST , SUITE C PP
PINELLAS PARK, FL
33781-3173

Practice Phone: 727-545-2339
Practice Fax:

1679230387 — BRANDY ANGELA KUCHARSKI PA-C
Practice Location Address:

7641 66TH ST N
PINELLAS PARK, FL
33781-3173

Practice Phone: 727-541-4431
Practice Fax:

1821079955 — SUNRISE MEDICAL CENTER S. C.
Practice Location Address:

16750 80TH AVE , STE D
TINLEY PARK, IL
60477-3173

Practice Phone: 708-633-8300
Practice Fax: 708-633-8091

1225083983 — MALHOTRA LLC
Practice Location Address:

16750 80TH AVE , SUITE E
TINLEY PARK, IL
60477-3173

Practice Phone: 708-633-9000
Practice Fax: 708-633-9016

1558398370 — DR. JOSEPH THOMAS MONACO M.D.
Practice Location Address:

16750 80TH AVE , SUITE A
TINLEY PARK, IL
60477-3173

Practice Phone: 708-444-1880
Practice Fax: 708-444-1980

1235226788 — DR. JEFFREY ROBERT HOEKSTRA DC
Practice Location Address:

16750 80TH AVE
TINLEY PARK, IL
60477-3173

Practice Phone: 708-633-4541
Practice Fax: 708-633-4549

Directions to “SKIN PATH SERVICES, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.