Individual
NOLAN K MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(407) 975-0410
(407) 975-0407
Mailing address
155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941-4028
(845) 703-6999
(845) 703-6297
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
273061
NY
208000000X
Pediatrics Physician
Primary
OS11720
FL
208M00000X
Hospitalist Physician
273061
NY
Other
Enumeration date
07/31/2012
Last updated
06/30/2023
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