Provider Demographics
NPI:1053683425
Name:SCOTT, RAYMOND WESTON (CRNA)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:WESTON
Last Name:SCOTT
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:285 UPTOWN BLVD APT 517
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-4004
Mailing Address - Country:US
Mailing Address - Phone:407-765-1554
Mailing Address - Fax:
Practice Address - Street 1:285 UPTOWN BLVD APT 517
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701-4004
Practice Address - Country:US
Practice Address - Phone:407-765-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-01
Last Update Date:2012-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9267000367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered