Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DN0010151 | FL |
NPI | 1063454601 |
---|---|
Provider Name | Dr. Anthony G Sclar |
First Address | South Miami, FL 33143-5428 |
Second Address | South Miami, FL 33143-5428 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U12749 | (02) | FL |