Individual
S SCOTT OLEXY
Active
Individual
S SCOTT OLEXY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA9103313
FL
363AS0400X
Surgical Physician Assistant
Primary
0110002649
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
292202900
—
FL
Enumeration date
02/02/2006
Last updated
03/11/2009
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