Provider Demographics
NPI:1609808385
Name:SCHULTZ, SCOT C (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOT
Middle Name:C
Last Name:SCHULTZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:6101 PINE RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34119-3900
Mailing Address - Country:US
Mailing Address - Phone:239-348-4221
Mailing Address - Fax:
Practice Address - Street 1:101 S RAVENEL ST
Practice Address - Street 2:SUITE 270
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29506-2644
Practice Address - Country:US
Practice Address - Phone:843-777-7020
Practice Address - Fax:843-664-9545
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC35329208G00000X
FLME76162208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)