Scaglia, Bennett Peter

Scaglia, Bennett Peter is an individual health care provider with primary practice located at 311 N Clyde Morris Blvd Suite 360, Daytona Beach FL 32114-2781. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Scaglia, Bennett Peter can be contacted via phone (386) 254-4199.

Contact Information

Primary practice address
311 N Clyde Morris Blvd Suite 360 Daytona Beach FL 32114-2781
Phone: (386) 254-4199
Fax: (386) 947-4680
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X G88428 California
Allopathic & Osteopathic Physicians / Urology 208800000X 175031 New York
Allopathic & Osteopathic Physicians / Urology 208800000X 036088435 Illinois
Allopathic & Osteopathic Physicians / Urology 208800000X ME103036 Florida

Profile Details

NPI number 1003880626
LBN Legal business name Scaglia, Bennett Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated Apr 27th, 2020 - 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 1003880626 NPPES
Illinois MEDICAID .36088435
Illinois Other 5007705
Illinois MEDICAID 000954100

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