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Organization

CLARENCE SCOTT MD,PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CLARENCE SCOTT M.D (PHYSICIAN)
(407) 351-1809
Entity
Organization

Contact information

Practice address
1621 W FIRST STREET, SANFORD, FL 32772-0907
(407) 345-8961
Mailing address
PO BOX 907, 1621 W.FIRST STREET, SANFORD, FL 32772-0907
(407) 345-8961

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
ME0059756
FL

Other

Enumeration date
11/29/2007
Last updated
01/02/2008
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