Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | 57437 | MA |
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | ME0050420 | FL |
N | 208100000X | Physical Medicine & Rehabilitation Doctor | OS7098 | FL |
NPI | 1306828793 |
---|---|
Provider Name | Dr. Scott L. Myers |
First Address | Orlando, FL 32891-8025 |
Second Address | Gainesville, FL 32610-3003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/11/2005 |
Last Update Date | 17/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
049133100 | (05) | FL |
D51059 | (02) | FL |