NPI

Roy E Scudamore

NPI 1629106950

Read from the NPPES registry on October 23, 2026.

Facts

Status
Active
Credential
Cert. Prosthetist
Type
Individual
Enumeration date
2007-02-28
Last updated
2007-07-08

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Specialties

Licenses

License FL
pro88

Location

Practice location
1111 S Division Ave
City
Orlando FL
Postal code
32805-4715
Phone
(407) 843-8040

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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