Individual
DR. MICHAEL A SCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4200 N ARMENIA AVE, SUITE 1, TAMPA, FL 33607-6438
(813) 877-4811
(813) 872-8978
Mailing address
4200 N ARMENIA AVE, SUITE 1, TAMPA, FL 33607-6438
(813) 877-4811
(813) 872-8978
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME29315
FL
207NS0135X
Procedural Dermatology Physician
Primary
ME00029315
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
372329100
—
FL
Enumeration date
10/18/2005
Last updated
07/21/2022
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