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NPI Code Detail

MEDICARE: DR. ERIN M SCALES MD

MEDICARE: DR. ERIN M SCALES 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
1207Q00000XFamily Medicine Physician108545FL

Other Identifiers

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

General Provider Information

NPI Number : 1851484174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ERIN M SCALES MD
Provider Business Mailing Address
First Line : 7406 FULLERTON ST STE 105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3588
Country : US
Telephone Number : 904-802-6800
Fax Number : 904-808-4608
Provider Business Practice Location Address
First Line : 7406 FULLERTON ST STE 105
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32256-3588
Country : US
Telephone Number : 904-802-6800
Fax Number : 904-808-4608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2006
Last Update Date : 03/10/2022

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