Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YS0123X | Facial Plastic Surgeon | ME90519 | FL |
NPI | 1265492656 |
---|---|
Provider Name | Dr. Scott Andrew Scharer |
First Address | Jacksonville, FL 32231-4004 |
Second Address | Jacksonville, FL 32207-8343 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/03/2006 |
Last Update Date | 16/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273491500 | (05) | FL |
I43513 | (02) | FL |
P00997934 | RAILROAD MEDICARE (01) | FL |