Provider Demographics
NPI:1518748094
Name:SCOZZARI, JAMES SALVATORE (RPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:SALVATORE
Last Name:SCOZZARI
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4501 13TH ST
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:FL
Mailing Address - Zip Code:34769-6742
Mailing Address - Country:US
Mailing Address - Phone:407-957-2600
Mailing Address - Fax:407-957-6231
Practice Address - Street 1:4501 13TH ST
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:FL
Practice Address - Zip Code:34769-6742
Practice Address - Country:US
Practice Address - Phone:407-957-2600
Practice Address - Fax:407-957-6231
Is Sole Proprietor?:No
Enumeration Date:2023-10-10
Last Update Date:2023-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPS41355183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist