Healthcare Provider Details

I. General information

NPI: 1972545408
Provider Name (Legal Business Name): ROBERT SCOTT FURR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/11/2006
Last Update Date: 04/04/2024
Certification Date: 04/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2701 W DR MARTIN LUTHER KING JR BLVD
TAMPA FL
33607-6303
US

IV. Provider business mailing address

961 SPRING CREEK RD STE 202
CHATTANOOGA TN
37412-3976
US

V. Phone/Fax

Practice location:
  • Phone: 813-738-6690
  • Fax: 813-816-0326
Mailing address:
  • Phone: 423-899-6511
  • Fax: 423-899-1160

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberME164268
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code207VG0400X
TaxonomyGynecology Physician
License NumberMD0000039912
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: