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Individual
SCOTT R PRICKETT
Active
Individual
SCOTT R PRICKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP002554
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250273900
—
FL
01
—
P4949
PTAN
FL
Enumeration date
08/25/2005
Last updated
06/03/2026
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