Individual
DR. EDWARD DENNIS SCANLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
426 W BRANDON BLVD, BRANDON, FL 33511-5002
(813) 681-4444
(813) 661-8763
Mailing address
426 W BRANDON BLVD, BRANDON, FL 33511-5002
(813) 681-4444
(813) 661-8763
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
ME0048898
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114182235
GROUP NPI
FL
01
—
1861475196
NPI
FL
01
—
GW208Z
MEDICARE PTAN #
FL
Enumeration date
11/21/2005
Last updated
03/22/2016
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