Provider Demographics
NPI:1396820866
Name:HARRINGTON, SCOTT MARK (DO)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MARK
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:308 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34683-5422
Mailing Address - Country:US
Mailing Address - Phone:727-222-3036
Mailing Address - Fax:
Practice Address - Street 1:10707 66TH ST N STE B
Practice Address - Street 2:
Practice Address - City:PINELLAS PARK
Practice Address - State:FL
Practice Address - Zip Code:33782-2353
Practice Address - Country:US
Practice Address - Phone:727-222-3036
Practice Address - Fax:888-681-3477
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS13030207Q00000X, 207Q00000X
AZ005787207Q00000X
IN02002882A207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ005787OtherMEDICAL LICENSE