Marcella Scaccia Physician PLLC

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

License

109319 Issued in FL

Legal business name

MARCELLA SCACCIA PHYSICIAN PLLC

Doing business as

Total Wellness & Healthy Aging

Practice address

2922 Sea Oats Cir
Daytona Beach Shores, FL 32118-5938

Phone

(386) 871-0675

Fax

(386) 767-9085

NPI assigned

Jul 7, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Marcella Scaccia, M.D.

Title

Ceo

Phone

(386) 871-0675

Specialties & licenses 1

Addresses

Other names 1

• Total Wellness & Healthy Aging Doing business as

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309996800000",
    "number": "1043507338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 SEA OATS CIR",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185938",
            "telephone_number": "386-871-0675",
            "fax_number": "386-767-9085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2922 SEA OATS CIR",
            "city": "DAYTONA BEACH SHORES",
            "state": "FL",
            "postal_code": "321185938",
            "telephone_number": "386-871-0675",
            "fax_number": "386-767-9085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCELLA SCACCIA PHYSICIAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A",
        "authorized_official_last_name": "SCACCIA",
        "authorized_official_first_name": "MARCELLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-871-0675",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "109319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Wellness & Healthy Aging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Geriatric Medicine (Family Medicine) Physician in Daytona Beach Shores, FL
• Providers in Daytona Beach Shores, FL by specialty
• Geriatric Medicine (Family Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.