Provider Demographics
NPI:1740267269
Name:SCARANO, JOSEPH J (MD)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:J
Last Name:SCARANO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4861 27TH ST. WEST.
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34207
Mailing Address - Country:US
Mailing Address - Phone:941-755-0800
Mailing Address - Fax:941-755-1905
Practice Address - Street 1:4861 27TH ST. WEST
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34207
Practice Address - Country:US
Practice Address - Phone:941-755-0800
Practice Address - Fax:941-755-1905
Is Sole Proprietor?:No
Enumeration Date:2005-12-27
Last Update Date:2023-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME55634208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL4297157OtherAETNA
FL051784400Medicaid
FL14724OtherSTAYWELL
FL09640OtherBCBS