Scooter Brothers Enterprises, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

SCOOTER BROTHERS ENTERPRISES, LLC

Practice address

219 Racetrack Rd NW
Fort Walton Beach, FL 32547-1574

Phone

(850) 863-8530

NPI assigned

Nov 24, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Nic A Allegretto

Title

Owner

Phone

(850) 863-8530

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1416787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416787200000",
    "number": "1548667272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471574",
            "telephone_number": "850-863-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 RACETRACK RD NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325471574",
            "telephone_number": "850-863-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOOTER BROTHERS ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-24",
        "last_updated": "2014-11-24",
        "status": "A",
        "authorized_official_last_name": "ALLEGRETTO",
        "authorized_official_first_name": "NIC",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-863-8530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Nicolle Witschen Schmidt, MIT, LAT, ATC
• Rosemarie M Schultz, MD
• Gregory Allen Schwartz, PHARMD
• Laurie Ann Schweppe, ARNP
• Leah Scofield
• Paige Lusk Scoper, P.T., P.C.S.
• Audra Rochelle Scott, LMT
• Christine M Scott
• Danniele Nicole Scott
• Dustin Michael Scott, OD

• Customized Equipment (DME) in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Customized Equipment (DME) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2014; 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.