Provider Demographics
NPI:1265706055
Name:SCOTT, SHEILA LYNN (A,P, MSOM)
Entity type:Individual
Prefix:DR
First Name:SHEILA
Middle Name:LYNN
Last Name:SCOTT
Suffix:
Gender:F
Credentials:A,P, MSOM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1045 PRIMERA BLVD STE 1017
Mailing Address - Street 2:
Mailing Address - City:LAKE MARY
Mailing Address - State:FL
Mailing Address - Zip Code:32746-2178
Mailing Address - Country:US
Mailing Address - Phone:407-682-4454
Mailing Address - Fax:407-915-6853
Practice Address - Street 1:1045 PRIMERA BLVD STE 1017
Practice Address - Street 2:
Practice Address - City:LAKE MARY
Practice Address - State:FL
Practice Address - Zip Code:32746
Practice Address - Country:US
Practice Address - Phone:407-682-4454
Practice Address - Fax:407-915-6853
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-27
Last Update Date:2019-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP3095171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist