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General NPI Number Information
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NPI Number | 1700278710
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Entity Type | Individual
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Provider Name | SCOTT M FAIR DO
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Gender | Male
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Dates
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Enumeration Date | 02/27/2015
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 2000 PALM BEACH LAKES BLVD STE 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6504
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Country | US
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Telephone | 561-561-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 PALM LAKES BLVD 400
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-6504
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Country | US
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Telephone | 561-500-2020
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207WX0107X
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Taxonomy Name | Retina Specialist (Ophthalmology) Physician
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License Number | OS14637
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | OS14637
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License Number State | FL
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