# ROY E SCUDAMORE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1629106950
- **Gender:** Man
- **Credential:** CERT. PROSTHETIST

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1744P3200X | Prosthetics Case Management | PRO88 | FL | Yes |

## Other

- **Enumeration date:** 02/28/2007
- **Last updated:** 07/08/2007