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Individual
DR. RANDALL SCOTT
Active
Individual
DR. RANDALL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS11177
FL
208D00000X
General Practice Physician
OS 11177
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/23/2008
Last updated
09/21/2022
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