ROY E SCUDAMORE CERT. PROSTHETIST NPI 1629106950

NPI Information

  • NPI: 1629106950
  • Provider Name: ROY E SCUDAMORE, CERT. PROSTHETIST
  • Classification: Specialist - 1744P3200X
  • Specialization: Prosthetics Case Management
  • Entity Type: Individual
  • Address: 1111 S DIVISION AVE
    ORLANDO, FL
    ZIP 32805
  • Phone: (407) 843-8040

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NPI Details

Roy E Scudamore, CERT. PROSTHETIST is a prosthetics case management specialist in Orlando, FL. The provider is Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics. Roy E Scudamore, CERT. PROSTHETIST NPI is 1629106950. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1111 S DIVISION AVE
ORLANDO, FL
ZIP 32805-715
Phone: (407) 843-8040

The enumeration date for this NPI number is 2/28/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11744P3200XSpecialistProsthetics Case ManagementPRO88FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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