Provider Demographics
NPI:1053304683
Name:SCOMA, LOUIS (DC)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:
Last Name:SCOMA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3714C DEL PRADO BLVD S
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33904-7141
Mailing Address - Country:US
Mailing Address - Phone:239-945-1717
Mailing Address - Fax:239-945-1963
Practice Address - Street 1:3714C DEL PRADO BLVD S
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33904-7141
Practice Address - Country:US
Practice Address - Phone:239-945-1717
Practice Address - Fax:239-945-1963
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCHOOO3154111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLT93981Medicare UPIN