Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | OS9765 | FL |
N | 207YS0123X | Facial Plastic Surgeon | OS9765 | FL |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | OS9765 | FL |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | 5101014778 | MI |
N | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS9765 | FL |
NPI | 1770577090 |
---|---|
Provider Name | Dr. Brett M Scotch |
First Address | Wesley Chapel, FL 33544-8199 |
Second Address | Wesley Chapel, FL 33544-8199 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/09/2005 |
Last Update Date | 22/10/2018 |