Provider Demographics
NPI:1154689768
Name:SCOTT, DEBORAH KAY (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:KAY
Last Name:SCOTT
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 CASA ALOMA WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-2272
Mailing Address - Country:US
Mailing Address - Phone:407-678-5554
Mailing Address - Fax:407-678-0627
Practice Address - Street 1:2830 CASA ALOMA WAY
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-2272
Practice Address - Country:US
Practice Address - Phone:407-678-5554
Practice Address - Fax:407-678-0627
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP1676462363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily