Individual
NICHOLAS SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
212 WOODBINE AVE, TEMPLE TERRACE, FL 33617-4843
(813) 295-9913
Mailing address
212 WOODBINE AVE, TEMPLE TERRACE, FL 33617-4843
(813) 295-9913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/17/2016
Last updated
11/17/2016
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