| NPI | 1538104716 |
|---|---|
| Former Legal Business Name | MICHAELA G SCOTT, MD |
| Entity Type | Organization |
| Authorized Contact | JAN BEACH Administrator 772-770-4923 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: FL ME0025287) |
| 291U00000X Clinical Medical Laboratory (Licence: FL 10D0276491) | |
| Enumeration Date | 2006-06-19 |
| Last Update Date | 2008-05-09 |