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Individual
MR. SCOTT D POAG
Active
Individual
MR. SCOTT D POAG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00783100
NJ
363A00000X
Physician Assistant
EL11614
NH
363A00000X
Physician Assistant
Primary
PA9102866
FL
363AS0400X
Surgical Physician Assistant
PA 9102866
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129780300
—
FL
05
—
292096400
—
FL
01
—
HF826A
MEDICARE GRP PTAN
FL
Enumeration date
07/10/2006
Last updated
06/01/2026
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