Organization
SKIN PATH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH ROSENTHAL M.D. (DIRECTOR)
(813) 785-7198
Entity
Organization
Contact information
Practice address
7641 66TH ST, SUITE C, PINELLAS PARK, FL 33781-3173
(813) 785-7198
Mailing address
10419 CANARY ISLE DR, TAMPA, FL 33647-2713
(813) 785-7198
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
71887
BLUE CROSS BLUE SHIELD
FL
Enumeration date
02/23/2007
Last updated
08/22/2020
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