Individual
DR. SCOTT LEE SILLIMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
580 W 8TH ST, UFJP NEUROLOGY, JACKSONVILLE, FL 32209-6533
(904) 244-3960
(904) 244-9493
Mailing address
PO BOX 44008, UFJP PROVIDER ENROLLMENT, JACKSONVILLE, FL 32231-4008
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
ME72814
FL
2084N0400X
Neurology Physician
044099
GA
2084N0400X
Neurology Physician
Primary
ME72814
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000758502A
—
GA
05
—
000758502B
—
GA
05
—
3794407-00
—
FL
Enumeration date
03/11/2006
Last updated
07/28/2009
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