SCOTT M DELLORSO


Address: 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329
Phone: 9043985404

SCOTT M DELLORSO (NPI# 1255694667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1255694667
Entity Type Individual
Full Name SCOTT M DELLORSO
Credential M.D.
Practice Address 841 Prudential Dr Fl 10
Jacksonville
FL 32207-8329
Mailing Address Po Box 41113
Jacksonville
FL 32203-1113
Practice Telephone 9043985404
Practice Fax Number 9043915545
Mailing Telephone 9043764400
Mailing Fax Number 9043915595
Enumeration Date 2012-06-20
Last Update Date 2019-08-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 2084N0400X Psychiatry & Neurology
Specialization: Neurology
ME128245 FL Allopathic & Osteopathic Physicians
Y 2084V0102X Psychiatry & Neurology
Specialization: Vascular Neurology
ME128245 FL Allopathic & Osteopathic Physicians

Office Location

Street Address 841 PRUDENTIAL DR FL 10
City JACKSONVILLE
State FL
Zip Code 32207-8329

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215906649 Baptist Behavioral Health, LLC Counselor 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2006-03-17
1669015111 Miguel A Franco Psychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2019-10-28
1477103539 Adeline Leon Clinical Neuropsychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2019-09-19
1023537602 Janette Thames Psychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2017-09-14
1275931339 Henry Benson Psychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2014-12-05
1487072245 Omar Jishi Moore Psychiatry & Neurology 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2014-03-30
1780008425 Daniel Howard Olsen Clinical Neuropsychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2014-02-18
1083846414 Karen Cooper Sandbach Clinical Neuropsychologist 841 Prudential Dr Fl 10, Jacksonville, FL 32207-8329 2009-08-18
1427205038 Jason Shaun Day Psychiatry & Neurology 841 Prudential Dr Fl 10, Credentialing Department, Jacksonville, FL 32207-8329 2008-08-26
1528229184 Georgia Gianakakos Psychiatry & Neurology 841 Prudential Dr Fl 10, Credentialing Department, Jacksonville, FL 32207-8329 2008-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033768981 North Florida Pediatrics, Pa Pediatrics 4501 Atlantic Boulevard, Jacksonville, FL 32207 2019-09-04
1578117024 Pragna Mukesh Dholakia Nurse Practitioner 2624 Atlantic Blvd., Jacksonville, FL 32207 2019-08-01
1821653601 The Adoption Authority, Inc. Case Management 4940 Emerson Street, Suite 103, Jacksonville, FL 32207 2019-05-07
1255896080 Elizabeth Lynn Houghton Social Worker Sulzbacher Village, 904-720-2079, Jacksonville, FL 32207 2019-02-06
1902374630 Guilherme Jose Agnoletto Neurological Surgery 800 Prudential Drive Weaver Tower 11th Floor, Jacksonville, FL 32207 2018-11-12
1073008504 Pavilion Infusion Therapy Inc Durable Medical Equipment & Medical Supplies 1301 Palm Avenue, Suite 220, Jacksonville, FL 32207 2018-06-27
1346733185 Dueseason1 Registered Nurse 4058 Saint Augustine Rd, Jacksonville, FL 32207 2018-06-06
1164911913 Eric Lang Poovey Nurse Practitioner Baptist Heart Specialists, 836 Prudential Drive Suite 1700, Jacksonville, FL 32207 2018-05-08
1902311046 Spring Park Pharmacy LLC Durable Medical Equipment & Medical Supplies 3851 Emerson St Ste 13, Jacksonville, FL 32207 2017-12-12
1295247948 Emed Urgent and Primary Care Pa Clinic/Center 2570 Atlantic Boulevard, Jacksonville, FL 32207 2017-11-02
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Taxonomy Information

Taxonomy Code 2084V0102X
Grouping Allopathic & Osteopathic Physicians
Classification Psychiatry & Neurology
Specialization Vascular Neurology

Taxonomy Definition

Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376745935 Madhu B Vijayappa Psychiatry & Neurology 8984 Sw 64th Ln, Gainesville, FL 32608-8562 2007-06-04
1194837708 Sally B Zachariah Psychiatry & Neurology 10000 Bay Pines Blvd,neurology Section, Vamedical Center,bay Pines, Bay Pines, FL 33744 2006-08-31
1740258110 Nils H. Mueller-kronast Psychiatry & Neurology 8756 Boynton Beach Blvd Ste 2300, Boynton Beach, FL 33472-4439 2006-03-10
1063405975 Mary June Derbenwick Psychiatry & Neurology 350 N Clyde Morris Blvd, Daytona Beach, FL 32114-2733 2005-08-25
1215475025 Miami Stroke, LLC Psychiatry & Neurology 11750 Sw 40th St, Miami, FL 33175-3530 2017-02-01
1972918431 David Stone Psychiatry & Neurology 1700 S Tamiami Trl, Sarasota, FL 34239-3509 2014-06-24
1972897023 North Broward Hospital District Psychiatry & Neurology 201 E Sample Rd, Suite 106, Pompano Beach, FL 33064-3502 2011-06-07
1124337290 Maxim Vladimirovich Mokin Psychiatry & Neurology 2 Tampa General Cir, 3rd Floor, Tampa, FL 33606-3603 2010-10-06
1144547134 Muhammad Zeeshan Memon Psychiatry & Neurology 1611 Nw 12th Ave, Miami, FL 33136 2010-04-29
1497966394 Ridwan Lin Psychiatry & Neurology 201 E Sample Rd, Pompano Beach, FL 33064-3502 2007-05-24
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Competitor

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City JACKSONVILLE
Zip Code 32207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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