Individual
SCOTT EARLE BOURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4665 PONCE DE LEON BLVD, CORAL GABLES, FL 33146-2101
(786) 268-6050
Mailing address
4088 REDBUD CIR, DOYLESTOWN, PA 18902-8821
(267) 337-1760
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MT 186362
PA
Other
Enumeration date
04/01/2009
Last updated
12/03/2013
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