Roy E Scudamore, Cert. Prosthetist
Specialist, Prosthetics Case Management in Orlando, FL. Individual provider (NPI-1).
NPI number1629106950
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1629106950
- Entity type
- Individual (NPI-1)
- Name
- Roy E Scudamore
- Credential
- Cert. Prosthetist
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 28, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1744P3200X | Specialist, Prosthetics Case Management | pro88 | FL | Yes |
Practice location
1111 S Division AveOrlando, FL 32805-4715
Phone 407-843-8040
Mailing address
4702 Nw 80th CourtOcala, FL 34482
Phone 352-840-0995
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