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NPI Code Detail

MEDICARE: SCOTT M FAIR DO

MEDICARE: SCOTT M FAIR DO
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
1207WX0107XRetina Specialist (Ophthalmology) PhysicianOS14637FL
2207W00000XOphthalmology PhysicianOS14637FL

General Provider Information

NPI Number : 1700278710
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT M FAIR DO
Provider Business Mailing Address
First Line : 2000 PALM LAKES BLVD
Second Line : 400
City : WEST PALM BEACH
State : FL
Zip : 33409-6504
Country : US
Telephone Number : 561-500-2020
Fax Number :
Provider Business Practice Location Address
First Line : 2000 PALM BEACH LAKES BLVD STE 400
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33409-6504
Country : US
Telephone Number : 561-561-1500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2015
Last Update Date : 01/02/2025

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Directions to “ SCOTT M FAIR DO” Practice Location

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