Individual
MR. COLLINS BLAKE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1733 LAKEMONT AVE, # 106, ORLANDO, FL 32814-6350
(502) 316-1018
Mailing address
1733 LAKEMONT AVE, # 106, ORLANDO, FL 32814-6350
(502) 316-1018
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SA14574
FL
Other
Enumeration date
08/16/2016
Last updated
02/12/2025
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