Individual
NICHOLAS SCOGLIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
2681 ROOSEVELT BLVD, APARTMEN 4103, CLEARWATER, FL 33760-2512
(585) 469-4352
Mailing address
201 14TH ST SW, LARGO, FL 33770-3133
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS16183
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/20/2015
Last updated
08/15/2019
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