Individual
BASIL S. CHERPELIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13330 USF LAUREL DR, TAMPA, FL 33612-6601
(813) 974-2920
(813) 974-4272
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 974-2201
(813) 974-4325
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME75479
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME75479
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01646
BCBS
FL
05
—
263144000
—
FL
Enumeration date
06/09/2006
Last updated
03/22/2021
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