Individual
MICHAEL TYLER SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., M.B.A
Contact information
Practice address
3402 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6214
(813) 875-3950
(813) 872-2741
Mailing address
4371 VERONICA S SHOEMAKER BLVD, FORT MYERS, FL 33916-2216
(239) 274-8200
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
ME119658
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022249800
—
FL
Enumeration date
04/06/2011
Last updated
11/01/2017
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