Individual
ROY E SCUDAMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CERT. PROSTHETIST
Contact information
Practice address
1111 S DIVISION AVE, ORLANDO, FL 32805-4715
(407) 843-8040
Mailing address
4702 NW 80TH COURT, OCALA, FL 34482
(352) 840-0995
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
PRO88
FL
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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