Provider Demographics
NPI:1033823315
Name:SCOTT, MYA F (CPT)
Entity Type:Individual
Prefix:
First Name:MYA
Middle Name:F
Last Name:SCOTT
Suffix:
Gender:F
Credentials:CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:9200 NW 39TH AVE STE 130-3326
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32606-7331
Mailing Address - Country:US
Mailing Address - Phone:352-871-8614
Mailing Address - Fax:888-851-5541
Practice Address - Street 1:4209 NW 60TH AVE
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32653-0718
Practice Address - Country:US
Practice Address - Phone:352-871-8614
Practice Address - Fax:888-841-5541
Is Sole Proprietor?:No
Enumeration Date:2023-01-10
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FL272268976246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy