Individual
SCOTT ZENONI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1350 HICKORY ST, MELBOURNE, FL 32901-3224
(321) 434-1401
(321) 434-1667
Mailing address
3300 S FISKE BLVD, ROCKLEDGE, FL 32955-4306
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
ME118157
FL
2086S0127X
Trauma Surgery Physician
ME118167
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100099700
—
FL
01
—
JK683Y
MEDICARE
FL
01
—
JK683Z
MEDICARE
FL
Enumeration date
02/28/2013
Last updated
12/01/2023
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