Organization
DERMATOLOGY ASSOCIATES OF TALLAHASSEE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN SCHAPER (PRACTICE ADMINISTRATOR)
(850) 877-4134
Entity
Organization
Contact information
Practice address
1707 RIGGINS RD, TALLAHASSEE, FL 32308-5317
(850) 877-4134
(850) 402-9130
Mailing address
PO BOX 13859, TALLAHASSEE, FL 32317-3859
(850) 877-4134
(850) 402-9130
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00415
BLUE CROSS BLUE SHEILD
FL
Enumeration date
08/23/2006
Last updated
01/15/2018
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