Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207YX0905X | Otolaryngology/Facial Plastic Surgery | OS0007636 | FL |
NPI | 1568459592 |
---|---|
Provider Name | Scott A Nadenik |
First Address | Ocala, FL 34471-7765 |
Second Address | Ocala, FL 34471-7765 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2005 |
Last Update Date | 10/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
040012994 | RAILROAD MEDICARE NUMBER (01) | FL |
146961 | HEALTHEASE/WELLCARE (01) | FL |
243186 | AVMED PROVIDER NUMBER (01) | FL |
254812700 | (05) | FL |
4544150 | AETNA PROVIDER NUMBER (01) | FL |
56727 | BLUE CROSS PROVIDER # (01) | FL |
G73749 | (02) | FL |