Scaccabarrozzi, Luis Eduardo

Scaccabarrozzi, Luis Eduardo is an sole proprietor health care provider with primary practice located at 6440 W Newberry Rd Suite 105, Gainesville FL 32605-4381. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Scaccabarrozzi, Luis Eduardo can be contacted via phone (352) 332-4400.

Contact Information

Primary practice address
6440 W Newberry Rd Suite 105 Gainesville FL 32605-4381
Phone: (352) 332-4400
Fax: (352) 332-0086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2006001810 Missouri
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME90127 Florida

Profile Details

NPI number 1629077318
LBN Legal business name Scaccabarrozzi, Luis Eduardo
Credentials MD, MPH
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 15th, 2005
Last updated Nov 3rd, 2021 - about 4 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 1629077318 NPPES
Florida MEDICAID 269442500
Florida Other 1629077318

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