Individual
MR. JOHNNY KEITH SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
392 7TH ST, ATLANTIC BEACH, FL 32233-5434
(904) 270-4220
Mailing address
392 7TH ST, ATLANTIC BEACH, FL 32233-5434
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1946
FL
Other
Enumeration date
02/16/2007
Last updated
05/20/2012
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