Individual
DR. AGNES SCOVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6200 SW 73RD ST, SOUTH MIAMI, FL 33143-4679
(786) 662-4000
Mailing address
1825 PONCE DE LEON BLVD # 646, CORAL GABLES, FL 33134-4418
(323) 527-5537
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
1538113790
MO
207P00000X
Emergency Medicine Physician
A77262
CA
207P00000X
Emergency Medicine Physician
Primary
ME165800
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A772620
—
CA
Enumeration date
05/20/2006
Last updated
03/13/2025
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