Organization
ROBERT B SCOTT OCULARISTS OF FLORIDA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONNY J SCOTT (OFFICE MANAGER/TREASURER)
(312) 782-3558
Entity
Organization
Contact information
Practice address
3500 E FLETCHER AVE, SUITE 509, TAMPA, FL 33613-4793
(813) 977-7676
(813) 977-1999
Mailing address
111 N WABASH AVE, SUITE 1516, CHICAGO, IL 60602-3066
(312) 782-3558
(312) 372-4449
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
027891200
—
FL
01
—
10633501
CITRUS
—
01
—
214220
AVMED
—
01
—
231983
AMERIGROUP
—
01
—
2436832
AETNA
—
01
—
4017986
BCBS TN
TN
01
—
M0331
BSBS
—
01
—
N3179
WELLCARE
—
Enumeration date
09/05/2006
Last updated
07/20/2009
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