Provider Demographics
NPI:1629394051
Name:SCOTT B OSTER DO PA
Entity Type:Organization
Organization Name:SCOTT B OSTER DO PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:B
Authorized Official - Last Name:OSTER
Authorized Official - Suffix:
Authorized Official - Credentials:DO PA
Authorized Official - Phone:305-702-9441
Mailing Address - Street 1:133 BANYAN ISLE DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-4602
Mailing Address - Country:US
Mailing Address - Phone:305-702-9441
Mailing Address - Fax:305-702-9442
Practice Address - Street 1:133 BANYAN ISLE DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-4602
Practice Address - Country:US
Practice Address - Phone:305-702-9441
Practice Address - Fax:305-702-9442
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-09
Last Update Date:2010-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS10660207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty