| Scott Bruce Ravede, DO | |
|
1055 Saxon Blvd, Orange City, FL 32763-8468 | |
| (386) 943-4522 | |
| Not Available |
| Full Name | Scott Bruce Ravede |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1055 Saxon Blvd, Orange City, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760438048 | NPI | - | NPPES |
| 061707500 | Medicaid | FL | |
| 80276 | Other | FL | BLUE CROSS OF FLORIDA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | OS5559 (Florida) | Primary |
| Entity Name | Emergency Medicine Professionals Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205880853 PECOS PAC ID: 0446244362 Enrollment ID: O20040413001435 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Bruce Ravede, DO Po Box 9430, Daytona Beach, FL 32120-9430 Ph: () - | Scott Bruce Ravede, DO 1055 Saxon Blvd, Orange City, FL 32763-8468 Ph: (386) 943-4522 |
Charles Daniel Duva, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Gerard Joseph Newcomer, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Amy Sue Kelley, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Nancy Sue Tucker, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Dr. Stephen Senne Knight, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 | |
Elizabeth Jean Miller, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-274-7800 Fax: 386-274-7801 | |
Judy Jennifer Roberts, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1055 Saxon Blvd, Orange City, FL 32763 Phone: 386-943-4522 |