Individual
MELISSA ANN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4098 LIBRA DR, ORLANDO, FL 32816-5722
(407) 823-2701
Mailing address
235 N WESTMONTE DR, ALTAMONTE SPRINGS, FL 32714-3345
(407) 389-5300
(407) 389-5363
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9106125
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004122300
—
FL
01
—
FO861Z
MEDICARE IDENTIFICATION NUMBER
FL
Enumeration date
08/31/2011
Last updated
11/30/2018
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