Schimpff, Scott Nelson

Schimpff, Scott Nelson is an individual health care provider with primary practice located at 1564 Kingsley Ave Ste 300 , Orange Park FL 32073-4521. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Schimpff, Scott Nelson can be contacted via phone (904) 264-8801.

Contact Information

Primary practice address
1564 Kingsley Ave Ste 300 Orange Park FL 32073-4521
Phone: (904) 264-8801
Fax: (904) 621-0566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X ME115646 Florida
Allopathic & Osteopathic Physicians / Pain Medicine 2081P2900X ME115646 Florida

Profile Details

NPI number 1376740191
LBN Legal business name Schimpff, Scott Nelson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2007
Last updated Aug 30th, 2022 - about 4 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 1376740191 NPPES
Florida Other 14QT4 FLORIDA BLUE
Florida MEDICAID 1376740191 FLORIDA BLUE
Florida Other 9996062 FLORIDA BLUE
Florida MEDICAID 009034700 FLORIDA BLUE

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