Individual
RYAN SCRUGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
Mailing address
1592 SOUTH STATE ROAD 15-A, DELAND, FL 32720
(386) 734-2931
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME118509
FL
207WX0200X
Ophthalmic Plastic and Reconstructive Surgery Physician
ME118509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HT640Z
MEDICARE PTAN
FL
Enumeration date
06/06/2008
Last updated
07/18/2018
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