Organization
GULF COAST DERMATOPATHOLOGY LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LOUIS MILLNS JR. M.D. (DIRECTOR)
(813) 882-4206
Entity
Organization
Contact information
Practice address
6001 MEMORIAL HWY, TAMPA, FL 33615-4531
(813) 882-4206
(813) 886-0589
Mailing address
6001 MEMORIAL HWY, TAMPA, FL 33615-4531
(813) 882-4206
(813) 886-0589
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800001270
FL
Other
Enumeration date
10/13/2005
Last updated
12/17/2010
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