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Organization

CENTER FOR DERMATOLOGY AND SKIN SURGERY INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. STEVEN AL PROPER (PRESIDENT)
(813) 977-3600
Entity
Organization

Contact information

Practice address
14521 UNIVERSITY POINT PL, TAMPA, FL 33613-5424
(813) 977-3600
Mailing address
14521 UNIVERSITY POINT PL, TAMPA, FL 33613-5424
(813) 977-3600

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
205596
AVMED
FL
01
72962
BLUE CROSS BLUE SHIELD
FL
01
CG5355
RAILROAD MEDICARE
FL
Enumeration date
11/01/2006
Last updated
05/15/2008
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