# EDWARD D SCANLAN MD PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114182235
- **Authorized official:** SUE C BRICK (OFC MANAGER)
- **Authorized official phone:** (813) 685-1220

## Contact information

- **Practice address:** 425 S KINGS AVE, BRANDON, FL 33511-5919
- **Practice address phone:** (813) 685-1220
- **Mailing address:** 425 S KINGS AVE, BRANDON, FL 33511-5919
- **Mailing address phone:** (813) 685-1220

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | ME0048898 | FL | Yes |

## Other

- **Enumeration date:** 07/29/2008
- **Last updated:** 01/14/2013