| Edward D Scanlan Md Pa | |
|
425 S Kings Ave Brandon FL 33511-5919 | |
| (813) 685-1220 | |
| Not Available |
| Full Name | Edward D Scanlan Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 425 S Kings Ave, Brandon, Florida |
| Authorized Official Name and Position | Sue C Brick (OFC MANAGER) |
| Authorized Official Contact | 8136851220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edward D Scanlan Md Pa 425 S Kings Ave Brandon FL 33511-5919 Ph: (813) 685-1220 | Edward D Scanlan Md Pa 425 S Kings Ave Brandon FL 33511-5919 Ph: (813) 685-1220 |
| NPI Number | 1114182235 |
|---|---|
| Provider Enumeration Date | 07/29/2008 |
| Last Update Date | 01/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114182235 | NPI | - | NPPES |
| 04067 | Other | FL | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | ME0048898 (Florida) | Primary |
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