MEDICARE: DR. SCOTT A MOFFITT 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	174400000X	Specialist	ME0069476	FL

General Provider Information

NPI Number	:	1679535918
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SCOTT A MOFFITT M.D.

Provider Business Mailing Address
First Line	:	134 US HIGHWAY 1
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5402
Country	:	US
Telephone Number	:	561-842-4261
Fax Number	:	561-842-7481

Provider Business Practice Location Address
First Line	:	134 US HIGHWAY 1
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5402
Country	:	US
Telephone Number	:	561-842-4261
Fax Number	:	561-842-7481

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

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	02/17/2010

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Directions to “ DR. SCOTT A MOFFITT M.D.” Practice Location

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