Scoville, Agnes M

Scoville, Agnes M is an individual health care provider with primary practice located at 6200 Sw 73Rd St , South Miami FL 33143-4679. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as her primary health care specialty. Scoville, Agnes M can be contacted via phone (786) 662-4000.

Contact Information

Primary practice address
6200 Sw 73Rd St South Miami FL 33143-4679
Phone: (786) 662-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 1538113790 Missouri
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X A77262 California
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 165800 Florida

Profile Details

NPI number 1538113790
LBN Legal business name Scoville, Agnes M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Feb 28th, 2024 - about last year

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 1538113790 NPPES
California MEDICAID 00A772620

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