Provider Demographics
NPI:1386626380
Name:GARGASZ, SCOTT STEVEN (MD)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:STEVEN
Last Name:GARGASZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2318 GREENBRANCH DR STE 101
Mailing Address - Street 2:ADVANCED HAND & PLASTIC SURGERY CENTER LLC
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-6797
Mailing Address - Country:US
Mailing Address - Phone:813-866-4426
Mailing Address - Fax:813-972-8866
Practice Address - Street 1:2318 GREENBRANCH DR
Practice Address - Street 2:SUITE #101
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33544-6797
Practice Address - Country:US
Practice Address - Phone:813-866-4426
Practice Address - Fax:813-972-8866
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2012-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME93069208200000X, 2082S0105X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2082S0105XAllopathic & Osteopathic PhysiciansPlastic SurgerySurgery of the Hand
No208200000XAllopathic & Osteopathic PhysiciansPlastic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL272754400Medicaid
FL16038ZMedicare ID - Type Unspecified
FLI38016Medicare UPIN