Provider Demographics
NPI:1740243526
Name:SELLINGER, SCOTT BARRETT (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:BARRETT
Last Name:SELLINGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:12109 COUNTY ROAD 103
Mailing Address - Street 2:
Mailing Address - City:OXFORD
Mailing Address - State:FL
Mailing Address - Zip Code:34484-2951
Mailing Address - Country:US
Mailing Address - Phone:352-205-8981
Mailing Address - Fax:352-391-6498
Practice Address - Street 1:2000 CENTRE POINTE BLVD
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32308-4894
Practice Address - Country:US
Practice Address - Phone:850-309-0400
Practice Address - Fax:850-309-0404
Is Sole Proprietor?:No
Enumeration Date:2006-04-11
Last Update Date:2021-03-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0051896208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL11705OtherBCBS
FL11705OtherBCBS
FL00449435AMedicaid
FL11705OtherBCBS