Scannon, Michael A

Scannon, Michael A is an individual health care provider with primary practice located at 4200 N Armenia Ave Suite 1, Tampa FL 33607-6438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Procedural Dermatology is his primary health care specialty. Scannon, Michael A can be contacted via phone (813) 877-4811.

Contact Information

Primary practice address
4200 N Armenia Ave Suite 1 Tampa FL 33607-6438
Phone: (813) 877-4811
Fax: (813) 872-8978
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME29315 Florida
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X ME00029315 Florida

Profile Details

NPI number 1396734851
LBN Legal business name Scannon, Michael A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2005
Last updated Jul 21st, 2022 - about 3 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 1396734851 NPPES
Florida MEDICAID 372329100

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