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NPI Code Detail

MEDICARE: SCOTT S KORMAN MD

MEDICARE: SCOTT S KORMAN MD
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
1207R00000XInternal Medicine PhysicianME72575FL
2208M00000XHospitalist PhysicianME72575FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2ME72675OTHERFLMEDICAL LICENSE

General Provider Information

NPI Number : 1467491357
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT S KORMAN MD
Provider Business Mailing Address
First Line : 86 W UNDERWOOD ST
Second Line : MP 80
City : ORLANDO
State : FL
Zip : 32806-2008
Country : US
Telephone Number : 888-912-3648
Fax Number : 321-841-4085
Provider Business Practice Location Address
First Line : 86 W UNDERWOOD ST
Second Line : MP 80
City : ORLANDO
State : FL
Zip : 32806-2008
Country : US
Telephone Number : 888-912-3648
Fax Number : 321-841-4085
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2006
Last Update Date : 11/14/2016

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Directions to “ SCOTT S KORMAN MD” Practice Location

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