Smoller, Scott Dana
Smoller, Scott Dana is an sole proprietor health care provider with primary practice located at 180 Sw 84Th Ave Suite C, Plantation FL 33324-2731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Smoller, Scott Dana can be contacted via phone (954) 452-5188.Contact Information
Primary practice address
180 Sw 84Th Ave Suite C
Plantation FL 33324-2731
Phone: (954) 452-5188
Fax: (954) 474-0277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 36893 | Florida |
Profile Details
NPI number | 1558361543 |
---|---|
LBN Legal business name | Smoller, Scott Dana |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 31st, 2005 |
Last updated | Nov 3rd, 2009 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558361543 | NPPES |
Florida | MEDICAID | 0468797 |
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