Provider Demographics
NPI:1811942048
Name:MARSEL, SCOTT DAVID (MD)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:DAVID
Last Name:MARSEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:10000 W COLONIAL DR STE 184
Mailing Address - Street 2:
Mailing Address - City:OCOEE
Mailing Address - State:FL
Mailing Address - Zip Code:34761-3434
Mailing Address - Country:US
Mailing Address - Phone:407-296-1923
Mailing Address - Fax:407-636-7850
Practice Address - Street 1:10000 W COLONIAL DR STE 184
Practice Address - Street 2:
Practice Address - City:OCOEE
Practice Address - State:FL
Practice Address - Zip Code:34761-3434
Practice Address - Country:US
Practice Address - Phone:407-296-1923
Practice Address - Fax:407-636-7850
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLME0074308207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
49114XMedicare PIN
G38346Medicare UPIN