Individual
DR. ANDREW MATTHEW SCANAMEO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2565 CAPITAL MEDICAL BLVD, TALLAHASSEE, FL 32308
(850) 906-9369
(850) 999-6563
Mailing address
PO BOX 16128, TALLAHASSEE, FL 32317-6128
(850) 906-9369
(850) 999-6563
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
ME0072947
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
253172100
—
FL
01
—
38001064
RAILROAD MEDICARE
FL
01
—
41724
BCBS PROVIDER NUMBER
FL
Enumeration date
08/16/2005
Last updated
02/18/2019
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