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SCOTT D SMOLLER MD PA NPI 1871505735


NPI Information

NPI: 1871505735
Provider Name: SCOTT D SMOLLER MD PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
180 SW 84TH AVE
SUITE C
PLANTATION, FL
ZIP 33324
Phone: (954) 452-5188
Get Directions

SCOTT D SMOLLER MD PA is a nephrology internal medicine in Plantation, FL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. SCOTT D SMOLLER MD PA NPI is 1871505735. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

180 SW 84TH AVE
SUITE C
PLANTATION, FL
ZIP 33324-731
Phone: (954) 452-5188
Fax: (954) 474-0277

The provider's authorized official is Scott Smoller .
The authorized official title is President and has the following contact phone number (954) 452-5188.

The enumeration date for this NPI number is 8/12/2006 and was last updated on 11/3/2009.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology0036893FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D79565MEDICARE UPINFLORIDA
294270YMEDICARE PIN
394270MEDICARE PINFLORIDA
4D79565MEDICARE UPIN
5AD715MEDICARE UPINFLORIDA
694270MEDICARE PIN
794270YMEDICARE PINFLORIDA
8AD715MEDICARE PIN

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: 11/14/2023

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