Organization
WILLNATH MEDICAL PLLC
Active
Organization
WILLNATH MEDICAL PLLC
Active
Other names
Nyanda Dermatology
Organization subpart
No
Provider details
NPI number
Authorized official
LISA NYANDA-MANALO MD (OWNER)
(813) 435-5199
Entity
Organization
Contact information
Practice address
26809 TANIC DR STE 101, WESLEY CHAPEL, FL 33544-4605
(813) 435-5199
(813) 796-5389
Mailing address
26809 TANIC DR STE 101, WESLEY CHAPEL, FL 33544-4605
(813) 435-5199
(813) 796-5389
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
02/21/2022
Last updated
03/30/2022
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