IndividualActive
Lewis Glass, MD
NPI 1699716787 · Dermatopathology Physician · Tampa, FL
Provider details
- NPI number
- 1699716787
- Entity type
- Individual
- Primary specialty
- Dermatopathology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- ME57995 (FL)
Practice location
12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-7365
Fax: (813) 449-8618
Mailing address
Po Box 198441
Atlanta, GA 30384-8441
Registry dates
- Enumerated
- 2006-06-09
- Last updated
- 2026-04-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.