Individual
MR. VINCENT ANTHONY SCAVO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC LAT
Contact information
Practice address
6501 SW 45TH ST, MIAMI, FL 33155-5924
(305) 662-8599
Mailing address
7600 SW 174TH ST, PALMETTO BAY, FL 33157-6311
(305) 582-2316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
FL129
FL
Other
Enumeration date
06/24/2006
Last updated
04/04/2016
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