Organization
SCOTT L DUNAVANT MD, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L DUNAVANT MD (OWNER)
(239) 278-1155
Entity
Organization
Contact information
Practice address
695 TARPON BAY RD, SUITE 2, SANIBEL, FL 33957-3137
(239) 312-4544
(239) 278-1159
Mailing address
695 TARPON BAY RD, SUITE 2, SANIBEL, FL 33957-3137
(239) 312-4544
(239) 278-1159
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
ME109424
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ME109424
MEDICAL LICENSE
FL
Enumeration date
01/28/2015
Last updated
02/08/2017
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