Individual
SCOTT D MCDOWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 WHETSTONE PL, SUITE 206, ST AUGUSTINE, FL 32086-5774
(904) 429-9892
(904) 217-7631
Mailing address
PO BOX 840162, ST AUGUSTINE, FL 32080-0162
(904) 429-9892
(904) 217-7631
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ME104843
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001091400
—
FL
01
—
1466Z
BCBS
FL
01
—
P00407138
RR MEDICARE
FL
Enumeration date
04/16/2007
Last updated
06/02/2015
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