Provider Demographics
NPI:1710162995
Name:SCOTT, CLARE LEOTA (DNP, APRN-C, CSW)
Entity Type:Individual
Prefix:
First Name:CLARE
Middle Name:LEOTA
Last Name:SCOTT
Suffix:
Gender:F
Credentials:DNP, APRN-C, CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 MAITLAND CENTER PKWY STE 310
Mailing Address - Street 2:
Mailing Address - City:MAITLAND
Mailing Address - State:FL
Mailing Address - Zip Code:32751-7442
Mailing Address - Country:US
Mailing Address - Phone:352-632-9018
Mailing Address - Fax:352-329-1810
Practice Address - Street 1:2400 MAITLAND CENTER PARKWAY
Practice Address - Street 2:SUITE 310
Practice Address - City:MAITLAND
Practice Address - State:FL
Practice Address - Zip Code:32751-7442
Practice Address - Country:US
Practice Address - Phone:352-329-1800
Practice Address - Fax:352-329-1810
Is Sole Proprietor?:No
Enumeration Date:2008-01-07
Last Update Date:2022-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11019739163WW0000X, 363LA2200X
NJ26NO10496100363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163WW0000XNursing Service ProvidersRegistered NurseWound Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner