Fosko, Scott William
Fosko, Scott William is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Fosko, Scott William can be contacted via phone (352) 594-1942.Contact Information
Primary practice address
1600 Sw Archer Rd
Gainesville FL 32610-1307
Phone: (352) 594-1942
Fax: (352) 594-1926
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 63118 | Arizona |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 2020-00017 | North Carolina |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | ME125681 | Florida |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 2020-00017 | North Carolina |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | ME125681 | Florida |
Profile Details
NPI number | 1598782476 |
---|---|
LBN Legal business name | Fosko, Scott William |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 16th, 2006 |
Last updated | Jan 19th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1598782476 | NPPES |
Florida | MEDICAID | 016190200 |
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