Provider Demographics
NPI:1780895268
Name:SCOTT, JAMES N (DC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:N
Last Name:SCOTT
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11203 SE 53RD CT
Mailing Address - Street 2:
Mailing Address - City:BELLEVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:34420-2502
Mailing Address - Country:US
Mailing Address - Phone:352-693-5858
Mailing Address - Fax:352-693-4792
Practice Address - Street 1:11203 SE 53RD CT
Practice Address - Street 2:
Practice Address - City:BELLEVIEW
Practice Address - State:FL
Practice Address - Zip Code:34420-2502
Practice Address - Country:US
Practice Address - Phone:352-693-5858
Practice Address - Fax:352-693-4792
Is Sole Proprietor?:No
Enumeration Date:2007-05-25
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH8936111N00000X
IN08001825A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor