Scardino, Samuel

Scardino, Samuel is an individual health care provider with primary practice located at 2830 N Hiawassee Rd , Orlando FL 32818-3319. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Scardino, Samuel can be contacted via phone (407) 296-2020.

Contact Information

Primary practice address
2830 N Hiawassee Rd Orlando FL 32818-3319
Phone: (407) 296-2020
Fax: (407) 294-0074
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC002113 Florida

Profile Details

NPI number 1679539480
LBN Legal business name Scardino, Samuel
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Aug 18th, 2010 - about 14 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 1679539480 NPPES
Florida MEDICAID 078826100

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