Individual
JERE ANTHONY SCOLA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4615 NW 53RD AVE, GAINESVILLE, FL 32653-4885
(352) 264-0094
(352) 375-1677
Mailing address
PO BOX 147050, PMB 515, GAINESVILLE, FL 32614-7050
(352) 264-0094
(352) 377-4816
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
P02981
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
340266500
—
FL
Enumeration date
07/05/2006
Last updated
01/13/2010
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