Individual
ROBERT CHRISTOPHER SCALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
71 POTTERS MILL TRL, PONTE VEDRA, FL 32081-1200
(619) 882-9148
Mailing address
964 AJAX STREET, MEDICAL CLINIC, OCCUPATIONAL HEALTH, JACKSONVILLE, FL 32212
(904) 542-3500
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
5101018005
MI
261QX0100X
Occupational Medicine Clinic/Center
Primary
5101018005
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5101018005
MICHIGAN STATE MEDICAL LICENSE
MI
Enumeration date
01/30/2019
Last updated
04/02/2026
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