Thomas Joseph Sultenfuss
Procedural Dermatology
1022 Main St Suite R
Dunedin
, Florida 34698-5238
Thomas Joseph Sultenfuss
Procedural Dermatology
1022 Main St Suite R
Dunedin
, Florida 34698-5238
(727) 734-6712
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About
Features
Specialties
- Procedural Dermatology
Languages spoken
- English
Location
First Address
- Thomas Joseph Sultenfuss
- 1022 Main St Suite R
- Dunedin, FL
- Zip : 34698-5238
- Fax : (727) 734-6712
- Phone : (727) 734-6710
Second Address
- Thomas Joseph Sultenfuss
- 1022 Main St Suite R
- Dunedin, FL
- Zip : 34698-5238
- Fax : (727) 734-6712
- Phone : (727) 734-6710
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207NS0135X | Procedural Dermatology | ME34798 | FL |
National Provider Identifier
| NPI | 1396829818 |
|---|---|
| Provider Name | Thomas Joseph Sultenfuss |
| First Address | Dunedin, FL 34698-5238 |
| Second Address | Dunedin, FL 34698-5238 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0965599 | AETNA (01) | FL |
| 1000091 | UNITED HEALTHCARE (01) | FL |
| 4235833 | AETNA (01) | FL |
| 62317 | BLUE CROSS/BLUE SHIELD (01) | FL |
| CL2114 | PALMETTO GBA MEDICARE RR (01) | FL |
| D77530 | (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.