Individual
EDWARD K SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1075 TOWN CENTER DR, ORANGE CITY, FL 32763-8360
(386) 917-0333
Mailing address
1075 TOWN CENTER DR, ORANGE CITY, FL 32763-8360
(386) 917-0333
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
0055632
FL
207RP1001X
Pulmonary Disease Physician
Primary
0055632
FL
Other
Enumeration date
08/15/2005
Last updated
01/28/2008
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