Individual
MR. SCOTT DOUGLAS IVY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11004 ROCKLEDGE VIEW DR, RIVERVIEW, FL 33579-2370
(813) 531-2383
(813) 922-0223
Mailing address
11004 ROCKLEDGE VIEW DR, RIVERVIEW, FL 33579-2370
(813) 531-2383
(813) 922-0223
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
FL
372500000X
Chore Provider
—
FL
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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