Dr. Ralph Eugene Massullo JR.
Dermatologist Dermatopathologist Procedural Dermatology MOHS-Micrographic Surgeon
525 N Dacie Pt
Lecanto
, Florida 34461-8399
Dr. Ralph Eugene Massullo JR.
Dermatologist Dermatopathologist Procedural Dermatology MOHS-Micrographic Surgeon
525 N Dacie Pt
Lecanto
, Florida 34461-8399
(352) 746-9320
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About
Features
Specialties
- Dermatologist
- MOHS-Micrographic Surgeon
- Dermatopathologist
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Dr. Ralph Eugene Massullo JR.
- 525 N Dacie Pt
- Lecanto, FL
- Zip : 34461-8399
- Fax : (352) 746-9320
- Phone : (352) 746-2200
Second Address
- Dr. Ralph Eugene Massullo JR.
- 525 N Dacie Pt
- Lecanto, FL
- Zip : 34461-8399
- Fax : (352) 746-9320
- Phone : (352) 746-2200
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FAQs
Where did Dr. Ralph Eugene Massullo JR. attend graduate school?
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What type of doctor is Dr. Ralph Eugene Massullo JR.
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Is Dr. Ralph Eugene Massullo JR. a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207N00000X | Dermatologist | ME54469 | FL |
| N | 207ND0101X | MOHS-Micrographic Surgeon | ME54469 | FL |
| N | 207ND0900X | Dermatopathologist | ME54469 | FL |
| N | 207NS0135X | Procedural Dermatology | ME54469 | FL |
National Provider Identifier
| NPI | 1104810563 |
|---|---|
| Provider Name | Dr. Ralph Eugene Massullo JR. |
| First Address | Lecanto, FL 34461-8399 |
| Second Address | Lecanto, FL 34461-8399 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/08/2005 |
| Last Update Date | 22/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 037329000 | (05) | FL |
| 070002449 | SRRGA (01) | FL |
| E22532 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.