Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | ME93069 | FL |
N | 208600000X | Surgeon | ME93069 | FL |
Y | 2082S0105X | Plastic Hand Surgeon | ME93069 | FL |
NPI | 1386626380 |
---|---|
Provider Name | Scott Steven Gargasz |
First Address | Wesley Chapel, FL 33544-6797 |
Second Address | Wesley Chapel, FL 33544-6797 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/11/2005 |
Last Update Date | 10/08/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
272754400 | (05) | FL |
I38016 | (02) | FL |