Individual
SH'MIKA T SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1020 REGALIA DR, ROCKLEDGE, FL 32955-3334
(321) 806-8072
Mailing address
1020 REGALIA DR, ROCKLEDGE, FL 32955-3334
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5222376
FL
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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