Individual
MEBANE SCOTT LEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
655 MAGIC CT, UNIT 188, ALTAMONTE SPRINGS, FL 32714-4526
(321) 356-6859
Mailing address
655 MAGIC CT, UNIT 188, ALTAMONTE SPRINGS, FL 32714-4526
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 32430
FL
Other
Enumeration date
04/26/2007
Last updated
07/08/2007
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