Individual
SCOTT L BEALS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
4566 E HIGHWAY 20, SUITE 101, NICEVILLE, FL 32578-8838
(850) 897-7546
(850) 897-7547
Mailing address
4566 E HIGHWAY 20, SUITE 101, NICEVILLE, FL 32578-8838
(850) 897-7546
(850) 897-7547
Taxonomy
Speciality
Code
Description
License number
State
207ND0900X
Dermatopathology Physician
Primary
OS7143
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13586Y
FLORIDA MEDICARE PTAN #
FL
05
—
266706100
—
FL
Enumeration date
09/07/2006
Last updated
11/24/2014
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