Scofa LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SCOFA LLC

Practice address

6405 W Gulf to Lake Hwy
Crystal River, FL 34429-9354

Phone

(352) 527-6888

NPI assigned

Sep 15, 2023

Last updated

Sep 15, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dacelin St Martin, MDNPI 1457392136

Title

Owner

Phone

(352) 527-6888

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Dacelin St Martin, MD

  • Internal Medicine Physician
  • Lecanto, FL
  • NPI 1457392136
  Authorized official Same address or phone

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694736000000",
    "number": "1376321083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6405 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344299354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6405 W GULF TO LAKE HWY",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344299354",
            "telephone_number": "352-527-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOFA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2023-09-15",
        "certification_date": "2023-09-15",
        "status": "A",
        "authorized_official_last_name": "ST MARTIN",
        "authorized_official_first_name": "DACELIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-527-6888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scheduled Health Transport LLC
• Angela Schenk, AU.D.
• Lisa Schnell
• Stephanie Schreck
• Rebecca Kovee Schutt, OTR/L, IMC
• Catherine Peteros Sembrano-Navarro, M.D.
• Joni Seno Capahi, OTR/L
• Seven Rivers Reg. Medical Center
• Oliver K Sevilla, MD
• Gaurav S Shah, M.D.

• Durable Medical Equipment & Medical Supplies in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2023; 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.