Provider Demographics
NPI:1164501359
Name:F SCOTT PERRINO M D INC
Entity Type:Organization
Organization Name:F SCOTT PERRINO M D INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:PERRINO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-884-2825
Mailing Address - Street 1:PO BOX 260801
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33685-0801
Mailing Address - Country:US
Mailing Address - Phone:813-884-2825
Mailing Address - Fax:813-884-3901
Practice Address - Street 1:6101 WEBB RD
Practice Address - Street 2:STE 204
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33615-2872
Practice Address - Country:US
Practice Address - Phone:813-884-2825
Practice Address - Fax:813-884-3901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2009-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME64885207R00000X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL251569500Medicaid
FL251569500Medicaid