MEDICARE: DR. ANTHONY SCOLA III M.D.

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
1	207R00000X	Internal Medicine Physician	ME123706	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	SCOLAANT	OTHER	WI	MERCYCARE INSURANCE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497946172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANTHONY SCOLA III M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11392
Second Line	:
City	:	BELFAST
State	:	ME
Zip	:	04915-4004
Country	:	US
Telephone Number	:	866-949-1433
Fax Number	:

Provider Business Practice Location Address
First Line	:	24231 WALDEN CENTER DR STE 100
Second Line	:
City	:	ESTERO
State	:	FL
Zip	:	34134
Country	:	US
Telephone Number	:	239-348-4221
Fax Number	:	239-949-4239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	04/01/2019

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