Provider Demographics
NPI:1407820335
Name:EBER, SCOTT TWERY (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:TWERY
Last Name:EBER
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 1:550 PIDGEON PLUM LN
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-3350
Mailing Address - Country:US
Mailing Address - Phone:305-573-4712
Mailing Address - Fax:
Practice Address - Street 1:JACKSON MEMORIAL MEDICAL CENTER
Practice Address - Street 2:DEPT. OF ANESTHESIOLOGY, CENTRAL 301, 1611 NW 12 AVE.
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136
Practice Address - Country:US
Practice Address - Phone:305-585-6970
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-15
Last Update Date:2014-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME60814207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2521181-00Medicaid
FL2521181-00Medicaid
25596WMedicare ID - Type Unspecified