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Organization

MICHAEL G CARUSO MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MICHAEL G CARUSO MD (PRESIDENT)
(813) 634-1455
Entity
Organization

Contact information

Practice address
4002 SUN CITY CENTER BLVD, UNIT 102, SUN CITY CENTER, FL 33573-5208
(813) 634-1455
(813) 642-8355
Mailing address
4002 SUN CITY CENTER BLVD, UNIT 102, SUN CITY CENTER, FL 33573-5208
(813) 634-1455
(813) 642-8355

Taxonomy

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

Other

Enumeration date
09/20/2005
Last updated
08/04/2010
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