Healthcare Provider Details

I. General information

NPI: 1538104716
Provider Name (Legal Business Name): MICHAELA G SCOTT MD AND ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/19/2006
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 36TH ST
VERO BEACH FL
32960-7323
US

IV. Provider business mailing address

1500 36TH ST
VERO BEACH FL
32960-7323
US

V. Phone/Fax

Practice location:
  • Phone: 772-770-4923
  • Fax: 772-778-8117
Mailing address:
  • Phone: 772-562-7777
  • Fax: 772-778-8117

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number10D0276491
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License NumberME0025287
License Number StateFL

VIII. Authorized Official

Name: BROOKE WHITE
Title or Position: OFFICE MANAGER
Credential:
Phone: 772-562-7777