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NPI Code Detail

MEDICARE: DR. DAVID BRUCE SCHOLL D.O.

MEDICARE: DR. DAVID BRUCE SCHOLL D.O.
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
1207Q00000XFamily Medicine PhysicianOS9586FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1OS9586OTHERFLLICENSE

General Provider Information

NPI Number : 1407994395
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DAVID BRUCE SCHOLL D.O.
Provider Business Mailing Address
First Line : PO BOX 198054
Second Line :
City : ATLANTA
State : GA
Zip : 30384-8054
Country : US
Telephone Number : 786-662-7980
Fax Number :
Provider Business Practice Location Address
First Line : 13101 S DIXIE HWY STE 400
Second Line :
City : PINECREST
State : FL
Zip : 33156-6530
Country : US
Telephone Number : 786-467-5700
Fax Number : 786-533-9445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 06/26/2025

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