Provider Demographics
NPI:1295784189
Name:SCARBOROUGH, RONALD RICHMOND II (DC)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:RICHMOND
Last Name:SCARBOROUGH
Suffix:II
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5534 GULF DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4000
Mailing Address - Country:US
Mailing Address - Phone:828-458-3242
Mailing Address - Fax:
Practice Address - Street 1:5534 GULF DR
Practice Address - Street 2:SUITE 3
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652-4000
Practice Address - Country:US
Practice Address - Phone:828-458-3242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-08
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9849111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCV-06509Medicare UPIN
NC2458739Medicare PIN