Organization
WESLEY CHAPEL DERMATOLOGY LLC
Active
Organization
WESLEY CHAPEL DERMATOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUJATHA TADICHERLA MD (PARTNER)
(813) 666-0488
Entity
Organization
Contact information
Practice address
2336 CRESTOVER LN STE 101, WESLEY CHAPEL, FL 33544-6794
(813) 606-4144
(813) 666-1508
Mailing address
2336 CRESTOVER LN STE 101, WESLEY CHAPEL, FL 33544-6794
(813) 606-4144
(813) 666-1508
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
03/09/2015
Last updated
05/22/2023
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