SCOOTER BROTHERS ENTERPRISES, LLC


Address: 219 Racetrack Rd Nw, Fort Walton Beach, FL 32547-1574
Phone: 8508638530

SCOOTER BROTHERS ENTERPRISES, LLC (NPI# 1548667272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1548667272
Entity Type Organization
Organization Name SCOOTER BROTHERS ENTERPRISES, LLC
Practice Address 219 Racetrack Rd Nw
Fort Walton Beach
FL 32547-1574
Practice Telephone 8508638530
Mailing Telephone 8508638530
Enumeration Date 2014-11-24
Last Update Date 2014-11-24
Authorized Official Name MR. NIC A ALLEGRETTO (OWNER)
Authorized Official Telephone 8508638530
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 332B00000X Durable Medical Equipment & Medical Supplies Suppliers
Y 332BC3200X Durable Medical Equipment & Medical Supplies
Specialization: Customized Equipment
Suppliers

Office Location

Street Address 219 RACETRACK RD NW
City FORT WALTON BEACH
State FL
Zip Code 32547-1574

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NPI Name Taxonomy Address Enumeration
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1497254791 Carmen Alston Nurse Practitioner 930 Mar Walt Dr C, Fort Walton Beach, FL 32547 2018-02-02
1871004960 Center for Neuropsychological Services Cns Clinical Neuropsychologist 1817 Lewis Turner Blvd, Fort Walton Beach, FL 32547 2017-10-17
1194235648 Robin Wray Speech-Language Pathologist 930 Mar Walt Dr D, Fort Walton Beach, FL 32547 2017-10-10
1285007989 Dynamic Pain & Wellness Pllc Pain Medicine 930 Marwalt Drive, Suite B and C, Fort Walton Beach, FL 32547 2015-11-04
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1083024673 Emily Lohr Physical Therapy Assistant 2000 Principle Ln, Ft. Walton Beach, FL 32547 2014-05-05
1831526102 Laurie Ann Schweppe Nurse Practitioner 1005 Mar Walt Drivve, Snf Hospitalist Department, Fort Walton Beach, FL 32547 2013-10-02
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Taxonomy Information

Taxonomy Code 332BC3200X
Grouping Suppliers
Classification Durable Medical Equipment & Medical Supplies
Specialization Customized Equipment

Taxonomy Definition

Definition to come...

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1700433067 Beyoutiful Custom Wigs and Makeup Durable Medical Equipment & Medical Supplies 276 N Market Blvd, Webster, FL 33597-9441 2019-08-21
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Competitor

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City FORT WALTON BEACH
Zip Code 32547

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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