# TAMARAC PATHOLOGY GROUP PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427019108
- **Authorized official:** FERNANDO A ESCLOPIS MD, FCAP (PRESIDENT)
- **Authorized official phone:** (352) 795-8372

## Contact information

- **Practice address:** 6201 N SUNCOAST BLVD, DEPARTMENT OF PATHOLOGY, CRYSTAL RIVER, FL 34428-6712
- **Practice address phone:** (352) 795-8372
- **Mailing address:** PO BOX 2030, HOMOSASSA SPRINGS, FL 34447-2030
- **Mailing address phone:** (352) 621-3100
- **Mailing address fax:** (352) 621-3121

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/31/2006
- **Last updated:** 03/06/2019