Individual provider Active NPI

Lawrence Joseph Scalzo, D.O.

  • Family Medicine Physician
  • Cocoa Beach, FL
National Provider Identifier
1881655561
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS7840 Issued in FL
Practice address
334 Jack Dr
Cocoa Beach, FL 32931-3825
Phone
(321) 747-4322
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS7840 FL Primary

Addresses

Primary practice location

334 Jack Dr
Cocoa Beach, FL 32931-3825

Mailing address

334 Jack Dr
Cocoa Beach, FL 32931-3825
Phone (321) 747-4322

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, MS, FL, NJ, AL, NC6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20080506000786 MI Practitioner - Family Practice 2668551359
I20090528000339 MS Practitioner - Family Practice 2668551359 Reassigns benefits to 1 organization
I20130305000310 FL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2668551359 Reassigns benefits to 1 organization
I20160525002476 NJ Practitioner - Family Practice 2668551359
I20230816000165 AL Practitioner - Family Practice 2668551359 Reassigns benefits to 1 organization
I20230817003069 NC Practitioner - Family Practice 2668551359 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS7840FLMDFamily Medicine Physician
1740WVMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dwic of Tampa Bay, Inc Past Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1881655561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 JACK DR",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313825",
            "telephone_number": "321-747-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 JACK DR",
            "city": "COCOA BEACH",
            "state": "FL",
            "postal_code": "329313825",
            "telephone_number": "321-747-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCALZO",
        "first_name": "LAWRENCE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS7840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cocoa Beach, FL

Sources for this page

Verify at the official NPI Registry.