Scott B. Portman, R. PH.
Individual provider Active NPI Pharmacist · Surfside, FL
NPI 1104080498 · NPPES record last updated Jul 15, 2008
Key facts
- NPI
- 1104080498
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pharmacist 183500000X
- License
- PS0021432 (FL)
- Practice address
- 9595 Collins Ave Apt 509
Surfside, FL 33154-2636 - Phone
- (305) 778-4844
- Fax
- (954) 570-8491
- NPI assigned
- Jul 15, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Pharmacist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS0021432 | FL | MD | Pharmacist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | PS0021432 | FL | Yes |
Addresses
Primary practice location
9595 Collins Ave Apt 509
Surfside, FL 33154-2636
Mailing address
9595 Collins Ave Apt 509
Surfside, FL 33154-2636
Phone (305) 778-4844
Other providers in Surfside, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 15, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.