Provider Demographics
NPI:1578775821
Name:SCARLETT, EDWARD M (AP)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:M
Last Name:SCARLETT
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:255 GEORGE BUSH BLVD
Mailing Address - Street 2:STE.#B
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-4063
Mailing Address - Country:US
Mailing Address - Phone:561-272-7816
Mailing Address - Fax:561-272-7566
Practice Address - Street 1:255 GEORGE BUSH BLVD
Practice Address - Street 2:STE #B
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33444-4063
Practice Address - Country:US
Practice Address - Phone:561-272-7816
Practice Address - Fax:561-272-7566
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2012-02-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL439171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist