Individual
SCOTT T FAUTH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4131 UNIVERSITY BLVD S, #16, JACKSONVILLE, FL 32216-4326
(904) 733-7408
(904) 733-7668
Mailing address
4131 UNIVERSITY BLVD S, #16, JACKSONVILLE, FL 32216-4326
(904) 733-7408
(904) 733-7668
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
ME0038362
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15657
BCBS OF FL
FL
Enumeration date
09/26/2005
Last updated
07/08/2007
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