MEDICARE: SCAPS MEDICAL, LLC

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	ME86340	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	78605	OTHER	FL	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1730323007
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCAPS MEDICAL, LLC

Provider Business Mailing Address
First Line	:	4601 N CONGRESS AVE STE 107
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3381
Country	:	US
Telephone Number	:	561-429-2401
Fax Number	:	561-429-2931

Provider Business Practice Location Address
First Line	:	4601 N CONGRESS AVE STE 107
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-3381
Country	:	US
Telephone Number	:	561-429-2401
Fax Number	:	561-429-2931

Authorized Official
Title or Position	:	MGR
Name	:	DR. PIERRE DELTOR
Credential	:	M.D.
Telephone Number	:	561-352-4003

Provider Enumeration Date	:	04/29/2009
Last Update Date	:	09/17/2024

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Directions to “SCAPS MEDICAL, LLC ” Practice Location

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