Individual
TIMOTHY ALAN SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AAP/CRPS
Contact information
Practice address
1801 5TH AVE N, ST PETERSBURG, FL 33713-7109
(727) 823-7811
(727) 823-7717
Mailing address
1801 5TH AVE N, ST PETERSBURG, FL 33713-7109
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
175T00000X
Peer Specialist
CRPS100524
FL
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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