Individual
DORRETT SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 W 13TH ST, RIVIERA BEACH, FL 33404-6844
(561) 512-8149
Mailing address
124 W 13TH ST, RIVIERA BEACH, FL 33404-6844
(561) 512-8149
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12563
FL
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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