Individual
DR. LUIS EDUARDO SCACCABARROZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
6440 W NEWBERRY RD, SUITE 105, GAINESVILLE, FL 32605-4381
(352) 332-4400
(352) 332-0086
Mailing address
6400 W NEWBERRY RD STE 109, GAINESVILLE, FL 32605-4388
(352) 332-4400
(352) 332-0086
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2006001810
MO
208000000X
Pediatrics Physician
Primary
ME90127
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1629077318
NPI
FL
05
—
269442500
—
FL
Enumeration date
07/15/2005
Last updated
11/03/2021
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