Provider Demographics
NPI:1528402435
Name:SCOTT, BUCK ANDREU (MD)
Entity Type:Individual
Prefix:DR
First Name:BUCK
Middle Name:ANDREU
Last Name:SCOTT
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:11945 SAN JOSE BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32223-1627
Mailing Address - Country:US
Mailing Address - Phone:904-396-1725
Mailing Address - Fax:904-396-4893
Practice Address - Street 1:407 S 11TH ST
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853
Practice Address - Country:US
Practice Address - Phone:863-679-2707
Practice Address - Fax:863-676-3621
Is Sole Proprietor?:No
Enumeration Date:2013-04-22
Last Update Date:2021-06-25
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Provider Licenses
StateLicense IDTaxonomies
FLME134261208600000X, 208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery