Organization
NATIONAL DERMATOLOGY HEALTHCARE OF OKLAHOMA LLC
Active
Organization
NATIONAL DERMATOLOGY HEALTHCARE OF OKLAHOMA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSH MAYWALT (BILLING MANAGER)
(813) 880-7546
Entity
Organization
Contact information
Practice address
8002 GUNN HWY, TAMPA, FL 33626-1603
(813) 880-7546
Mailing address
8002 GUNN HWY, TAMPA, FL 33626-1603
(813) 880-7546
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
01/16/2013
Last updated
01/16/2013
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