Individual
JENNIFER M SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4928 SR 674, WIMAUMA, FL 33598-3510
(813) 633-8606
(813) 633-8736
Mailing address
4928 SR 674, WIMAUMA, FL 33598-3510
(813) 633-8606
(813) 633-8736
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
7455
FL
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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