Provider Demographics
NPI:1942267877
Name:DUNKIN, SCOTT JON (DO)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:JON
Last Name:DUNKIN
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 863393
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32886-3393
Mailing Address - Country:US
Mailing Address - Phone:305-595-6488
Mailing Address - Fax:305-595-3532
Practice Address - Street 1:11760 SW 40TH ST STE 654
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33175-8103
Practice Address - Country:US
Practice Address - Phone:786-615-6123
Practice Address - Fax:786-615-6103
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS4300207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL043329200Medicaid
FL82580OtherBC/BS
FL82580YMedicare PIN
FLD60677Medicare UPIN