Provider Demographics
NPI:1487611240
Name:SCOMA, ROBERT STEVEN (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:STEVEN
Last Name:SCOMA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N FLAGLER DR
Mailing Address - Street 2:#8300
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33401-3404
Mailing Address - Country:US
Mailing Address - Phone:561-832-1234
Mailing Address - Fax:561-832-5316
Practice Address - Street 1:1411 N FLAGLER DR
Practice Address - Street 2:#8300
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3404
Practice Address - Country:US
Practice Address - Phone:561-832-1234
Practice Address - Fax:561-832-5316
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2023-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0066768208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650571296OtherHUMANA
FL25979OtherBCBSFL
FL27718OtherHEALTHEASE
FL225449OtherAV-MED
FL376689600Medicaid
FL0900096OtherGHI
FL25979AMedicare ID - Type Unspecified
FL376689600Medicaid