Silas, Scott Ian

Silas, Scott Ian is an individual health care provider with primary practice located at 545 Health Blvd , Daytona Beach FL 32114-1493. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Silas, Scott Ian can be contacted via phone (386) 274-5252.

Contact Information

Primary practice address
545 Health Blvd Daytona Beach FL 32114-1493
Phone: (386) 274-5252
Fax: (386) 274-5544
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X ME0070922 Florida

Profile Details

NPI number 1073514253
LBN Legal business name Silas, Scott Ian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Dec 20th, 2022 - about 2 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 1073514253 NPPES
Florida Other 31655Z PTAN
Florida MEDICAID 250491000 PTAN

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