Keith, Douglas Scott

Keith, Douglas Scott is an individual health care provider with primary practice located at 5149 N 9Th Ave , Pensacola FL 32504-8756. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Keith, Douglas Scott can be contacted via phone (850) 416-1080.

Contact Information

Primary practice address
5149 N 9Th Ave Pensacola FL 32504-8756
Phone: (850) 416-1080
Fax: (850) 416-1089
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME128786 Florida

Profile Details

NPI number 1023290475
LBN Legal business name Keith, Douglas Scott
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2007
Last updated Jul 21st, 2022 - about 2 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023290475 NPPES
Florida MEDICAID 017974800
Florida Other ME128786
Florida Other P01853620

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