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Organization
SCOTT A GROAT D P M P A
Active
Organization
SCOTT A GROAT D P M P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ALAN GROAT D.P.M. (PODIATRIST)
(850) 243-1255
Entity
Organization
Contact information
Practice address
151 MARY ESTHER BLVD, SUITE 510, MARY ESTHER, FL 32569-1972
(850) 243-1255
(850) 664-5578
Mailing address
151 MARY ESTHER BLVD, SUITE 510, MARY ESTHER, FL 32569-1972
(850) 243-1255
(850) 664-5578
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
PO 1786
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029673200
—
FL
Enumeration date
08/28/2010
Last updated
10/08/2012
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