Individual
SCOTT PODNOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
290 INDIAN TRCE, WESTON, FL 33326-4509
(954) 908-3604
(954) 903-4075
Mailing address
151 SOUTHHALL LN, STE 300, MAITLAND, FL 32751-7176
(407) 875-2080
(407) 650-3455
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
ME77859
FL
207ND0101X
MOHS-Micrographic Surgery Physician
Primary
ME77859
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257778000
—
FL
Enumeration date
08/30/2006
Last updated
12/16/2014
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