Organization
HENRY E WILEY III MD PA
Active
Other names
Henry E Wiley III MD PA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY E WILEY III MD (PRESIDENT)
(813) 253-2635
Entity
Organization
Contact information
Practice address
1425 S HOWARD AVE, TAMPA, FL 33606-3126
(813) 253-2635
Mailing address
1425 S HOWARD AVE, TAMPA, FL 33606-3126
(813) 253-2635
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
—
—
Other
Enumeration date
10/09/2007
Last updated
11/06/2007
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