Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | ME 93921 | FL |
NPI | 1033106455 |
---|---|
Provider Name | Scott C Cardone |
First Address | Hollywood, FL 33021-8353 |
Second Address | Hollywood, FL 33021-8353 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/09/2005 |
Last Update Date | 01/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
273274200 | (05) | FL |
I39172 | (02) | FL |