Provider Demographics
NPI:1619198348
Name:RONALD W. SCOTT DCPA
Entity Type:Organization
Organization Name:RONALD W. SCOTT DCPA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:DR
Authorized Official - First Name:RONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-253-2161
Mailing Address - Street 1:9245 SW 158TH LN
Mailing Address - Street 2:302
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33157-1804
Mailing Address - Country:US
Mailing Address - Phone:305-253-2161
Mailing Address - Fax:
Practice Address - Street 1:9245 SW 158TH LN
Practice Address - Street 2:302
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33157-1804
Practice Address - Country:US
Practice Address - Phone:305-253-2161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH00001575111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL89465Medicare ID - Type Unspecified