Fosko, Scott William

Fosko, Scott William is an individual health care provider with primary practice located at 1600 Sw Archer Rd , Gainesville FL 32610-1307. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery. Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery is his primary health care specialty. Fosko, Scott William can be contacted via phone (352) 594-1942.

Contact Information

Primary practice address
1600 Sw Archer Rd Gainesville FL 32610-1307
Phone: (352) 594-1942
Fax: (352) 594-1926
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 63118 Arizona
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 2020-00017 North Carolina
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME125681 Florida
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X 2020-00017 North Carolina
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X ME125681 Florida

Profile Details

NPI number 1598782476
LBN Legal business name Fosko, Scott William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Jan 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598782476 NPPES
Florida MEDICAID 016190200

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