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Individual

DR. JAMES SAMUEL SCOLAPIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000
Mailing address
4500 SAN PABLO RD S, JACKSONVILLE, FL 32224-1865
(904) 953-2000

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME65964
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
100006067
RAILROAD MEDICARE
FL
01
25376
BLUECROSS/BLUESHIELD
FL
05
268774700
FL
Enumeration date
10/13/2005
Last updated
01/03/2011
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