Individual
MARY SCADUTO CZERNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14546 OLD SAINT AUGUSTINE RD STE 301, JACKSONVILLE, FL 32258
(904) 202-6410
Mailing address
14546 OLD SAINT AUGUSTINE RD STE 301, JACKSONVILLE, FL 32258-5472
(904) 202-6410
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
138648
FL
207Y00000X
Otolaryngology Physician
2013044225
MO
Other
Enumeration date
07/01/2010
Last updated
04/08/2019
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