Individual
KAREN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
35 NE 159TH ST, MIAMI, FL 33162-4212
(305) 216-6335
Mailing address
35 NE 159TH ST, MIAMI, FL 33162-4212
(305) 216-6335
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
684612296
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
684612296
—
FL
Enumeration date
01/20/2016
Last updated
01/20/2016
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