Scott Skorupa is a Body Imaging in Hollywood, Florida. Scott Skorupa practices all healthcare services and medical treatments related to Body Imaging. The NPI Number for Scott Skorupa is 1033115233. The last update date is 2021-12-16.
Scott Skorupa's current location address is 3501 Johnson St, Hollywood, Florida. You can contact this provider via phone number 9549872000 and fax number 9544376628. The mailing address for Scott Skorupa is 3501 Johnson St, Hollywood, Florida. To know further, please read the information below!
Provider Profile Detail
Provider Name | Scott Skorupa |
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Address | 3501 Johnson St, Hollywood, Florida |
Phone Number | 9549872000 |
Fax Number | 9544376628 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1033115233 |
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Provider Enumeration Date | 2005-06-22 |
Last Updated Date | 2021-12-16 |
Provider Mailing Address Detail
Address | 3501 Johnson St |
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City | Hollywood |
State | Florida (FL) |
Post Code | 3302154210 |
Phone Number | 9549872000 |
Fax Number | 9544376628 |
Provider's Primary Taxonomy Detail
Speciality | Body Imaging |
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Taxonomy | 2085B0100X |
Licence No | ME80111 |
Definition: A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
35295 | FL | BLUE CROSS BLUE SHIELD | |
258756400 | FL | -- |
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What is the Scott Skorupa's 1033115233?
The Scott Skorupa's NPI (National Provider Identifier) Number is 1033115233. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Scott Skorupa is physically located?
The Scott Skorupa is situated at the following address: 3501 Johnson St, Hollywood, FL 3302154210.
What is Scott Skorupa's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Scott Skorupa's specialized field of practice is Body Imaging, and the corresponding taxonomy code that categorizes this area of specialization is 2085B0100X.
On what date did the Scott Skorupa receive the assignment of its 1033115233 from the Centers for Medicare & Medicaid Services?
The Scott Skorupa was issued its 1033115233 by the Centers for Medicare & Medicaid Services on 2005-06-22.
As of what date were the Scott Skorupa's details last updated?
The information pertaining to the Scott Skorupa, including its address, specialty, and other details, was most recently updated on 2021-12-16.