Talley, Pamela A

Talley, Pamela A is an individual health care provider with primary practice located at 2299 9Th Avenue North Suite 1D, Saint Petersburg FL 33713. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is her primary health care specialty. Talley, Pamela A can be contacted via phone (727) 328-1841.

Contact Information

Primary practice address
2299 9Th Avenue North Suite 1D Saint Petersburg FL 33713
Phone: (727) 328-1841
Fax: (727) 328-2640
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME51658 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME51658 Florida

Profile Details

NPI number 1508963315
LBN Legal business name Talley, Pamela A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Nov 23rd, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508963315 NPPES
Other 04579 BLUE SHIELD

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