Palm Harbor Dermatology Pa, NPI 1497927016
MOHS-Micrographic Surgery Physician in Palm Harbor, FL, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1497927016
NPI Entity Type Organization
Provider Name Palm Harbor Dermatology Pa
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 4197 Woodlands Pkwy, Palm Harbor, FL, US
Provider Mailing Address 4919 Memorial Hwy Ste 150, Tampa, FL, US, 336347516
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name DR. MD Amy Simon Ross
Official Position CEO
Phone 813-333-1512

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

207ND0101X

Taxonomy Name MOHS-Micrographic Surgery Physician
Classification

Dermatology

Group

Allopathic & Osteopathic Physicians

Description The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

Palm Harbor Dermatology Pa
4197 Woodlands Pkwy

Palm Harbor, FL, US

Phone: 727-786-3810
Fax: 727-786-3855

Mailing Address

Palm Harbor Dermatology Pa
4919 Memorial Hwy Ste 150
Tampa, FL, US
ZIP 336347516
Phone: 813-333-1512
Fax: 813-333-1561

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207N00000X

Allopathic & Osteopathic Physicians

Dermatology

No

207ZD0900X

Allopathic & Osteopathic Physicians

Pathology

No

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