# SCOOTER DOCTOR, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Scooter Doctor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972513877
- **Authorized official:** MR. STEPHEN M GOUDY (PRESIDENT)
- **Authorized official phone:** (904) 399-1313

## Contact information

- **Practice address:** 3435 PHILLIPS HWY, SUITE A301, JACKSONVILLE, FL 32207-5615
- **Practice address phone:** (904) 399-1313
- **Practice address fax:** (904) 399-3392
- **Mailing address:** 3435 PHILLIPS HWY, SUITE A301, JACKSONVILLE, FL 32207-5615
- **Mailing address phone:** (904) 399-1313
- **Mailing address fax:** (904) 399-3392

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | 1312807 | FL | Yes |

## Other

- **Enumeration date:** 08/09/2006
- **Last updated:** 08/22/2020