Individual provider · Type 1 NPI

Ralph Eugene Massullo Jr., MD

MOHS-Micrographic Surgery Physician · Lecanto, FL

NPI number 1104810563 Active

Practice location

525 N Dacie Pt
Lecanto, FL 34461-8399

Call (352) 746-2200 Map

Fax (352) 746-9320

Mailing address

4651 Van Dyke Rd
Lutz, FL 33558-4880

Specialties and licenses

TaxonomyCodeLicense
Dermatology Physician 207N00000XME54469 (FL)
Dermatopathology Physician 207ND0900XME54469 (FL)
Procedural Dermatology Physician 207NS0135XME54469 (FL)
MOHS-Micrographic Surgery Physician Primary 207ND0101XME54469 (FL)

MOHS-Micrographic Surgery Physician: The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one…

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About NPI 1104810563

Ralph Eugene Massullo Jr., MD's National Provider Identifier is 1104810563, issued on Aug 31, 2005. The primary taxonomy on file is MOHS-Micrographic Surgery Physician (207ND0101X), and the practice location is in Lecanto, FL. The record was last updated on Nov 12, 2022.