Organization
RUTH HANNO MD PA
Active
Other names
Tampa Palms Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
GLENDA STANLEY (OFFICE MANAGER)
(813) 978-8888
Entity
Organization
Contact information
Practice address
15310 AMBERLY DR, SUITE 150, TAMPA, FL 33647-2199
(813) 978-8888
(813) 972-8974
Mailing address
15310 AMBERLY DR, SUITE 150, TAMPA, FL 33647-2199
(813) 978-8888
(813) 972-8974
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME47991
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U7621Z
MEDICARE ID
FL
Enumeration date
02/23/2006
Last updated
01/22/2009
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