Provider Demographics
NPI:1992989776
Name:MARTZ, SCOTT T (DO)
Entity type:Individual
Prefix:
First Name:SCOTT
Middle Name:T
Last Name:MARTZ
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Gender:M
Credentials:DO
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Mailing Address - Street 1:2061 ENGLEWOOD RD
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:ENGLEWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:34223-1749
Mailing Address - Country:US
Mailing Address - Phone:941-474-4061
Mailing Address - Fax:941-474-0620
Practice Address - Street 1:2061 ENGLEWOOD RD
Practice Address - Street 2:SUITE 3A
Practice Address - City:ENGLEWOOD
Practice Address - State:FL
Practice Address - Zip Code:34223-1749
Practice Address - Country:US
Practice Address - Phone:941-474-4061
Practice Address - Fax:941-474-0620
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-28
Last Update Date:2015-11-09
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Provider Licenses
StateLicense IDTaxonomies
FLOS13122208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology