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Organization

FLORIDA SPECIALTY MEDICAL SERVICES LLC

Active
Parent organization
AMERICAN SPECIALTY MEDICAL SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
AMERICAN SPECIALTY MEDICAL SERVICES LLC
Authorized official
DR. DEBRA SHELBY DNP (OWNER/MANAGER)
(772) 708-6776
Entity
Organization

Contact information

Practice address
16057 TAMPA PALMS BLVD W, 223, TAMPA, FL 33647-2001
(813) 493-3376
Mailing address
16057 TAMPA PALMS BLVD W, 223, TAMPA, FL 33647-2001
(813) 493-3376

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME100378
FL

Other

Enumeration date
03/26/2014
Last updated
03/26/2014
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