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NPI 1538104716

NPI 1538104716 : MICHAELA G SCOTT MD AND ASSOCIATES : VERO BEACH, FL

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General NPI Number Information
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    NPI Number           |    1538104716
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    Entity Type          |    Organization 
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    Legal Business Name  |    MICHAELA G SCOTT MD AND ASSOCIATES 
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Dates
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    Enumeration Date     |    06/19/2006
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    Last Update Date     |    10/22/2025
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Provider Practice Location Address
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    Address Line         |    1500 36TH ST 
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    City                 |    VERO BEACH
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    State                |    FL
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    Zip                  |    32960-7323
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    Country              |    US
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    Telephone            |    772-770-4923
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    Fax                  |    772-778-8117
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Provider Business Mailing Address
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    Address Line         |    1500 36TH ST 
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    City                 |    VERO BEACH
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    State                |    FL
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    Zip                  |    32960-7323
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    Country              |    US
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    Telephone            |    772-562-7777
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    Fax                  |    772-778-8117
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |     BROOKE  WHITE 
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    Credential           |    
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    Telephone            |    772-562-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332900000X
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    Taxonomy Name        |    Non-Pharmacy Dispensing Site
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    License Number       |    ME0025287
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    291U00000X
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    Taxonomy Name        |    Clinical Medical Laboratory
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    License Number       |    10D0276491
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    License Number State |    FL
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Taxonomy #3
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    Taxonomy Code        |    207RH0003X
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    Taxonomy Name        |    Hematology & Oncology Physician
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    License Number       |    
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    License Number State |    
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