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NPI Code Detail

MEDICARE: GULF COAST DERMATOPATHOLOGY LABORATORY, INC.

MEDICARE: GULF COAST DERMATOPATHOLOGY LABORATORY, INC.
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
1291U00000XClinical Medical Laboratory800001270FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982693818
Entity Type Code : Organization
Provider Name (Legal Business Name) : GULF COAST DERMATOPATHOLOGY LABORATORY, INC.
Provider Business Mailing Address
First Line : 6001 MEMORIAL HWY
Second Line :
City : TAMPA
State : FL
Zip : 33615-4531
Country : US
Telephone Number : 813-882-4206
Fax Number : 813-886-0589
Provider Business Practice Location Address
First Line : 6001 MEMORIAL HWY
Second Line :
City : TAMPA
State : FL
Zip : 33615-4531
Country : US
Telephone Number : 813-882-4206
Fax Number : 813-886-0589
Authorized Official
Title or Position : DIRECTOR
Name : JOHN LOUIS MILLNS JR.
Credential : M.D.
Telephone Number : 813-882-4206
Provider Enumeration Date : 10/13/2005
Last Update Date : 12/17/2010

Similar Medicare Providers

1902895832 — DR. JOHN LOUIS MILLNS JR. M.D.
Practice Location Address:
6001 MEMORIAL HWY
TAMPA, FL
33615-4531
Practice Phone: 813-884-1626
Practice Fax: 813-886-0589
1386684421 — DR. HILARY RAE DALTON D.M.D., M.S.
Practice Location Address:
6025 MEMORIAL HWY
TAMPA, FL
33615-4531
Practice Phone: 813-886-2527
Practice Fax: 813-887-3225
1649284563 — DERMATOLOGY ASSOCIATES OF TAMPA BAY, LLC
Practice Location Address:
6001 MEMORIAL HWY
TAMPA, FL
33615-4531
Practice Phone: 813-884-1626
Practice Fax: 813-886-0589
1124334479 — LAURA ELAINE MILLNS PA-C
Practice Location Address:
6001 MEMORIAL HWY
TAMPA, FL
33615-4531
Practice Phone: 813-884-1626
Practice Fax: 813-886-0589
1558656736 — ELIZABETH R DY DMD
Practice Location Address:
6025 MEMORIAL HWY
TAMPA, FL
33615-4531
Practice Phone: 813-886-2527
Practice Fax: 813-887-3225
1598017873 — CURTIS R. MOORE, D.M.D. P.A.
Practice Location Address:
6025 MEMORIAL HWY
TAMPA, FL
33615-4531
Practice Phone: 813-886-2527
Practice Fax: 813-887-3225

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