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NPI Code Detail

MEDICARE: DR. SCOTT ANTHONY TREZZA MD

MEDICARE: DR. SCOTT ANTHONY TREZZA MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207L00000XAnesthesiology PhysicianME93642FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
159200502OTHERCTBSAL
228731OTHERFLBSFL
37694735OTHERCTAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174504492
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SCOTT ANTHONY TREZZA MD
Provider Business Mailing Address
First Line : 6002 BERRYHILL RD
Second Line :
City : MILTON
State : FL
Zip : 32570-5062
Country : US
Telephone Number : 850-626-5209
Fax Number :
Provider Business Practice Location Address
First Line : 6002 BERRYHILL RD
Second Line :
City : MILTON
State : FL
Zip : 32570-5062
Country : US
Telephone Number : 850-626-5209
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 01/23/2012

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