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NPI Code Detail

MEDICARE: SCOTT E. DEAN M.D.

MEDICARE: SCOTT E. DEAN 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
1207RN0300XNephrology PhysicianME49423FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2390001566OTHERRRB PTAN

General Provider Information

NPI Number : 1629074919
Entity Type Code : Individual
Provider Name (Legal Business Name) : SCOTT E. DEAN M.D.
Provider Business Mailing Address
First Line : 504 NORTH MACARTHUR AVENUE
Second Line : NEPHROLOGY ASSOCIATES, P.A.
City : PANAMA CITY
State : FL
Zip : 32401-3636
Country : US
Telephone Number : 850-769-2158
Fax Number : 850-785-9220
Provider Business Practice Location Address
First Line : 504 NORTH MACARTHUR AVENUE
Second Line :
City : PANAMA CITY
State : FL
Zip : 32401-3636
Country : US
Telephone Number : 850-769-2158
Fax Number : 850-785-9220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2005
Last Update Date : 03/17/2014

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