Individual
DR. SCOTT JOHN REDRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
582 SE 7TH AVE, CRYSTAL RIVER, FL 34429-4840
(352) 564-8245
(352) 564-8201
Mailing address
PO BOX 1117, CRYSTAL RIVER, FL 34423
(352) 564-8245
(352) 564-8201
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
ME62824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269427100
—
FL
Enumeration date
07/08/2006
Last updated
09/21/2015
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