Provider Demographics
NPI:1508804733
Name:SCOTT, FRANK DUNCAN IV (MD)
Entity Type:Individual
Prefix:DR
First Name:FRANK
Middle Name:DUNCAN
Last Name:SCOTT
Suffix:IV
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:4516 E HIGHWAY 20
Mailing Address - Street 2:# 108
Mailing Address - City:NICEVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32578-9755
Mailing Address - Country:US
Mailing Address - Phone:850-729-9131
Mailing Address - Fax:801-352-7976
Practice Address - Street 1:1049 JOHN SIMS PKWY EAST, SUITE 2 #231
Practice Address - Street 2:
Practice Address - City:NICEVILLE
Practice Address - State:FL
Practice Address - Zip Code:32578
Practice Address - Country:US
Practice Address - Phone:850-729-9131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24778207RN0300X
FLME97483207RN0300X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000100990Medicaid
FL009650200Medicaid
AL009938313Medicaid
H76963Medicare UPIN
FLHN230ZMedicare PIN
ALH76963Medicare UPIN
AL000100990Medicaid