Provider Demographics
NPI:1851484174
Name:SCALES, ERIN M (MD)
Entity type:Individual
Prefix:DR
First Name:ERIN
Middle Name:M
Last Name:SCALES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:SCALES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:7406 FULLERTON ST STE 105
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32256-3588
Mailing Address - Country:US
Mailing Address - Phone:904-802-6800
Mailing Address - Fax:904-808-4608
Practice Address - Street 1:7406 FULLERTON ST STE 105
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32256-3588
Practice Address - Country:US
Practice Address - Phone:904-802-6800
Practice Address - Fax:904-808-4608
Is Sole Proprietor?:No
Enumeration Date:2006-09-30
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL108545207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLEP823ZMedicare PIN