Individual
GINA SCAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
509 JACKSON ST N, ST PETERSBURG, FL 33705-1477
(727) 820-7800
Mailing address
509 JACKSON ST N, ST PETERSBURG, FL 33705-1477
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2724042
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
77B17
BCBS FL
FL
Enumeration date
04/17/2006
Last updated
06/08/2016
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