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Robert Scordato Jr., PA

Physician Assistant, Medical in Miami Beach, FL. Individual provider (NPI-1).

NPI number1003107640
StatusActive
Last updated in NPPESJan 29, 2014

Details

NPI
1003107640
Entity type
Individual (NPI-1)
Name
Robert Scordato Jr.
Credential
PA
Sex
Male
Sole proprietor
No
Enumeration date
May 1, 2011
Last updated
Jan 29, 2014

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - PHYSICIAN ASSISTANT
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical––Yes
207RC0000X Internal Medicine, Cardiovascular DiseasePA9107253FL
363A00000X Physician Assistant––
363AS0400X Physician Assistant, Surgical––
363A00000X Physician Assistant9107253FL

Practice location

4300 Alton Rd
Suite 2070
Miami Beach, FL 33140-2948

Phone 305-674-2609

Mailing address

90 Sw 3rd St
Apt 4102
Miami, FL 33130-2995

Phone 347-215-1493

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Other Medical Physician Assistant providers in Miami Beach, FL

All 15 Medical Physician Assistant providers in Miami Beach · All 3,027 providers in Miami Beach

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