MEDICARE: DR. MIACHAEL AUBREY SCOTT D.D.S.

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
1	1223G0001X	General Practice Dentistry	DN6133	FL

General Provider Information

NPI Number	:	1316028269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MIACHAEL AUBREY SCOTT D.D.S.

Provider Business Mailing Address
First Line	:	2000 N FEDERAL HWY
Second Line	:	SUITE 202
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1022
Country	:	US
Telephone Number	:	954-782-6800
Fax Number	:	954-782-3117

Provider Business Practice Location Address
First Line	:	2000 N FEDERAL HWY
Second Line	:	SUITE 202
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-1022
Country	:	US
Telephone Number	:	954-782-6800
Fax Number	:	954-782-3117

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2006
Last Update Date	:	07/08/2007

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