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Individual

SCOTT A NADENIK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031
Mailing address
2120 SW 22ND PL, OCALA, FL 34471-7765
(352) 732-5042
(352) 732-6031

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
OP70061477
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
OP70061477
WA
207YX0905X
Otolaryngology/Facial Plastic Surgery Physician
Primary
OS0007636
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
040012994
RAILROAD MEDICARE NUMBER
FL
01
146961
HEALTHEASE/WELLCARE
FL
01
243186
AVMED PROVIDER NUMBER
FL
05
254812700
FL
01
4544150
AETNA PROVIDER NUMBER
FL
01
56727
BLUE CROSS PROVIDER #
FL
Enumeration date
10/04/2005
Last updated
03/12/2026
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