Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 1223G0001X | General Practice | 0401413210 | VA |
N | 213EG0000X | General Practice | 0401413210 | VA |
Y | 1223P0221X | Pediatric Dentist | DN21100 | FL |
NPI | 1093012403 |
---|---|
Provider Name | Dr. Scott Aaron Scheps |
First Address | Saint Petersburg, FL 33701-3350 |
Second Address | Lakeland, FL 33803-0400 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/02/2011 |
Last Update Date | 13/04/2017 |