Provider Demographics
NPI:1841597960
Name:ROBERT S SCOMA MD PA
Entity Type:Organization
Organization Name:ROBERT S SCOMA MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDANT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEVEN
Authorized Official - Last Name:SCOMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-832-1234
Mailing Address - Street 1:1411 N FLAGLER DR STE 8300
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3413
Mailing Address - Country:US
Mailing Address - Phone:561-832-1234
Mailing Address - Fax:561-832-5316
Practice Address - Street 1:1411 N FLAGLER DR STE 8300
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3413
Practice Address - Country:US
Practice Address - Phone:561-832-1234
Practice Address - Fax:561-832-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-25
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty