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NPI Code Detail

MEDICARE: MR. CHRISTOPHER MICHAEL SCOCCO B.S., M.S., B.C.E.

MEDICARE: MR. CHRISTOPHER MICHAEL SCOCCO B.S., M.S., B.C.E.
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
1171W00000XContractorJB 614FL

General Provider Information

NPI Number : 1033506779
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. CHRISTOPHER MICHAEL SCOCCO B.S., M.S., B.C.E.
Provider Business Mailing Address
First Line : 7670 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2100
Country : US
Telephone Number : 561-242-1542
Fax Number : 561-684-0519
Provider Business Practice Location Address
First Line : 7670 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33411-2100
Country : US
Telephone Number : 561-242-1542
Fax Number : 561-684-0519
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2015
Last Update Date : 04/21/2015

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