Individual
SCOTT MARSHALL WISOTSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
430 MORTON PLANT ST, SUITE 301, CLEARWATER, FL 33756-3398
(727) 461-6026
(727) 461-7446
Mailing address
430 MORTON PLANT ST, SUITE 301, CLEARWATER, FL 33756-3398
(727) 461-6026
(727) 461-7446
Taxonomy
Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
ME95108
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277623500
—
FL
Enumeration date
07/26/2006
Last updated
01/30/2013
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