Provider Demographics
NPI:1831370386
Name:SCAGLIONE, JUDITH C (ARNP)
Entity type:Individual
Prefix:MRS
First Name:JUDITH
Middle Name:C
Last Name:SCAGLIONE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7900 SW 57TH AVE
Mailing Address - Street 2:SUITE# 21
Mailing Address - City:SOUTH MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-5522
Mailing Address - Country:US
Mailing Address - Phone:305-662-3984
Mailing Address - Fax:305-661-1129
Practice Address - Street 1:7900 SW 57TH AVE
Practice Address - Street 2:SUITE #21
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5522
Practice Address - Country:US
Practice Address - Phone:305-662-3984
Practice Address - Fax:305-661-1129
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1798282363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily