Provider Demographics
NPI:1790415206
Name:SCOTT, JOHN PAUL (HAS)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:PAUL
Last Name:SCOTT
Suffix:
Gender:M
Credentials:HAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10732 CHARLOTTE DR
Mailing Address - Street 2:
Mailing Address - City:PARRISH
Mailing Address - State:FL
Mailing Address - Zip Code:34219-2324
Mailing Address - Country:US
Mailing Address - Phone:727-318-0168
Mailing Address - Fax:
Practice Address - Street 1:4850 SUN CITY CENTER BLVD
Practice Address - Street 2:
Practice Address - City:SUN CITY CENTER
Practice Address - State:FL
Practice Address - Zip Code:33573-6281
Practice Address - Country:US
Practice Address - Phone:813-634-8451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-16
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAS5502237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist