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Individual
MR. SCOT T WILLIAMS
Active
Individual
MR. SCOT T WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9103018
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002879600
—
FL
01
—
1467583010
MEDICARE NPI GROUP
FL
05
—
1467589010
—
FL
01
—
DC690A
MEDICARE GROUP PIN
FL
Enumeration date
06/15/2005
Last updated
02/23/2017
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