Individual
DR. FREDERICK JAMES SCAVONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
7100 W 20TH AVE, SUITE 200, HIALEAH, FL 33016-5529
(305) 823-1629
Mailing address
1685 SEAGRAPE WAY, HOLLYWOOD, FL 33019-4864
(954) 920-7018
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
PO0002337
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
390115700
—
FL
Enumeration date
07/07/2006
Last updated
12/11/2008
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