Organization
SANCHEZ DERMATOLOGY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FITZGERALDO A SANCHEZ MD (PRESIDENT)
(813) 830-3376
Entity
Organization
Contact information
Practice address
420 N PLANT AVE, PLANT CITY, FL 33563-7248
(813) 839-3376
Mailing address
301 W PLATT ST, #186, TAMPA, FL 33606-2292
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME102887
FL
207ND0900X
Dermatopathology Physician
ME102887
FL
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
ME102887
FL
207NS0135X
Procedural Dermatology Physician
ME102887
FL
207ZD0900X
Dermatopathology (Pathology) Physician
ME102887
FL
291U00000X
Clinical Medical Laboratory
ME102887
FL
Other
Enumeration date
05/22/2011
Last updated
09/15/2011
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