Individual
DR. DUSTIN MICHAEL SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
778 BEAL PKWY N UNIT 102, FORT WALTON BEACH, FL 32547-3063
(619) 321-7521
Mailing address
1904 LAGRANGE RD, CHULA VISTA, CA 91913-1690
(619) 321-7521
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6547
FL
Other
Enumeration date
06/12/2024
Last updated
07/24/2024
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