GULF COAST DERMATOPATHOLOGY LABORATORY, INC.
Medical Laboratory at Memorial Hwy, Tampa, FL

License number
Florida 800001270
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: JOHN LOUIS MILLNS JR. M.D.
Title: DIRECTOR
Phone: (813) 882-4206
Address
Address
6001 Memorial Hwy, Tampa, FL 33615
National Provider ID: 1982693818
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GULF COAST DERMATOPATHOLOGY LABORATORY, INC

6001 Memorial Hwy, Tampa, FL 33615

Industry:
Medical Doctor's Office
Doing business as:
Gcd Gulf Cast Dermatopathology
Registration:
Jul 26, 1984
Phone:
(813) 884-1626 (Phone)
State ID:
H14132
Business type:
Florida Profit Corporation
Office Manager, Director of Operations, Operations Managers:
John L Millns (President, Director, Owner), 7716 Still Pakr Crk, Odessa, FL 33556 (Physical),Rachel E. Careccia (Medical Doctor),Laura Elaine Millns (Cardiology),...
Agent:
John Millns,7716 Still Park Crk, Odessa, FL 33556 (Physical)
EIN:
59-2434790

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