Provider Demographics
NPI:1487773818
Name:A. SCOTT DANSKY MD PA
Entity type:Organization
Organization Name:A. SCOTT DANSKY MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:DANSKY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-804-5205
Mailing Address - Street 1:9195 SW 72ND ST
Mailing Address - Street 2:SUITE 110
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-3452
Mailing Address - Country:US
Mailing Address - Phone:305-274-7334
Mailing Address - Fax:305-274-7337
Practice Address - Street 1:9195 SW 72ND ST
Practice Address - Street 2:SUITE 110
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-3452
Practice Address - Country:US
Practice Address - Phone:305-274-7334
Practice Address - Fax:305-274-7337
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2015-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL037824100Medicaid
DC95170Medicare ID - Type Unspecified
FL037824100Medicaid