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
Fax: (954) 474-0277
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558361543 NPPES
Florida MEDICAID 0468797

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