Individual
R SCOTT HANSON
Active
Individual
R SCOTT HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19920
ME
207R00000X
Internal Medicine Physician
ME91860
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02036
UNIVERSAL HEALTH CARE
FL
01
—
101844
MEDICARE A
—
01
—
21250921881
BEECHSTREET/CAPP CARE
FL
05
—
271800600
—
FL
01
—
52159
BLUE CROSS BLUE SHIELD
FL
01
—
P00169584
RR MEDICARE
FL
01
—
SG076504
VISTA
FL
Enumeration date
06/20/2005
Last updated
08/01/2014
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