Provider Demographics
NPI:1588647093
Name:SCARANO AND TAYLOR PEDIATRICS, P.A.
Entity Type:Organization
Organization Name:SCARANO AND TAYLOR PEDIATRICS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:SCARANO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:941-755-0800
Mailing Address - Street 1:4861 27TH ST W
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207-1726
Mailing Address - Country:US
Mailing Address - Phone:941-755-0800
Mailing Address - Fax:941-755-1905
Practice Address - Street 1:4861 27TH ST W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207-1726
Practice Address - Country:US
Practice Address - Phone:941-755-0800
Practice Address - Fax:941-755-1905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-29
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 0042925174400000X
208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty
No174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL77648OtherBCBS
FL078069OtherAETNA