Individual
MR. SCOTT MASTON WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS, LMT
Contact information
Practice address
123 HWY98, MIRAMAR BEACH, FL 32550-1003
(850) 305-9127
Mailing address
PO BOX 6308, MIRAMAR BEACH, FL 32550-1003
(850) 305-9127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3695
FL
225700000X
Massage Therapist
MA41969
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1043244734
NPI-NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM
FL
01
—
C3880
BLUE CROSS/BLUE SHIELD
FL
Enumeration date
07/10/2006
Last updated
07/09/2014
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