Michael Scott Proctor MD

NPI 1114925633 - Dermatology - 207NS0135X

NPI Details
NPI 1114925633
Gender Male
Enumeration Date 07/08/2005
Last Updated 10/27/2008
Entity Type Individual
Active Over 11 years ago
Practice Location
1609 PASADENA AVE S
SUITE 4-O
SOUTH PASADENA FL, 33707-4565, US
Phone (727) 345-8050
Fax (727) 345-4344
Business Location
1609 PASADENA AVE S
SUITE 4-O
SOUTH PASADENA FL, 33707-4565, US
Phone (727) 345-8050
Fax (727) 345-4344
Toxanomy
Taxonomy Code 207NS0135X
License State Pennsylvania
License Number MD036068E
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According to our database, Dr. Michael Scott Proctor MD NPI is 1114925633, taxonomy code is 207NS0135X and license number is MD036068E, license state is located at Pennsylvania. Michael Scott Proctor MD physically located at 1609 Pasadena Ave S, South Pasadena FL, 33707-4565. NPI Number Michael Scott Proctor MD has the Individual type.

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1114925633 NPI number is provided on an as is basis without warranty of any kind. 1114925633 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Scott Proctor MD are for informational purposes only.