Provider Demographics
NPI:1265568091
Name:HANCOCK, SCOTT HENRIK (DVM)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:HENRIK
Last Name:HANCOCK
Suffix:
Gender:M
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:932 MASON AVE
Mailing Address - Street 2:
Mailing Address - City:DAYTONA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32117-4745
Mailing Address - Country:US
Mailing Address - Phone:386-255-1407
Mailing Address - Fax:
Practice Address - Street 1:932 MASON AVE
Practice Address - Street 2:
Practice Address - City:DAYTONA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32117-4745
Practice Address - Country:US
Practice Address - Phone:386-255-1407
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLVM5898174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian