Registry details
Type
Organization
Primary specialty
Dermatology
Enumerated
Apr 20, 2022
License(s)
—
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 5210 WEBB RD | Tampa, FL 33615-4518 | 813-882-9986 |
| LOCATION | 6776 54TH AVE N | St Petersburg, FL 33709-1405 | 727-935-0510 |
Watch this provider
Get a webhook/email the day this provider is added to the OIG-LEIE exclusion list or appears in an FDA enforcement action.