Organization
MICHAEL A. SCANNON MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL ANTHONY SCANNON MD (PHYSICIAN/OWNER)
(813) 877-4811
Entity
Organization
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
207NS0135X
Procedural Dermatology Physician
Primary
ME0029315
FL
Other
Enumeration date
03/08/2006
Last updated
07/14/2010
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