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Individual

ROBERT SCULTHORPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
301 NORTHWEST 82ND AVE, COLUMBIA OUTPATIENT SURGICAL SERVICES, PLANTATION, FL 33324
(954) 424-1766
(954) 370-1533
Mailing address
PO BOX 17347, PLANTATION, FL 33318-7347
(954) 370-1053
(954) 370-1533

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS0003939
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050030234
MEDICARE RAILROAD
05
062780100
FL
01
82230
BCBS
Enumeration date
10/03/2006
Last updated
07/07/2008
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