Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | ME101569 | FL |
NPI | 1104020056 |
---|---|
Provider Name | Scott Jeffrey Engel |
First Address | Sarasota, FL 34239-3806 |
Second Address | Sarasota, FL 34239-3806 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2007 |
Last Update Date | 18/08/2008 |