Provider Demographics
NPI:1851415475
Name:BEAT, SCOTT R (AP)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:R
Last Name:BEAT
Suffix:
Gender:M
Credentials:AP
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5 FLORIDA PARK DR.
Mailing Address - Street 2:B
Mailing Address - City:PALM COAST
Mailing Address - State:FL
Mailing Address - Zip Code:32137
Mailing Address - Country:US
Mailing Address - Phone:386-445-8003
Mailing Address - Fax:386-445-0677
Practice Address - Street 1:5 FLORIDA PARK DRIVE NORTH
Practice Address - Street 2:SUITE B
Practice Address - City:PALM COAST
Practice Address - State:FL
Practice Address - Zip Code:32137
Practice Address - Country:US
Practice Address - Phone:386-445-8003
Practice Address - Fax:386-445-0677
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLAP400171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist