Individual
SCOTT E ALTSCHULER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1701 SE HILLMOOR DR STE 4, PORT ST LUCIE, FL 34952-7552
(727) 777-2575
(727) 777-2587
Mailing address
1701 SE HILLMOOR DR STE 4, PORT ST LUCIE, FL 34952-7552
(772) 777-2575
(772) 777-2587
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME102117
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000410100
—
FL
01
—
53644
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/07/2007
Last updated
08/17/2017
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