Individual
SCOTT MICHAEL EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
12900 CORTEZ BLVD, SUITE 205, BROOKSVILLE, FL 34613-6828
(352) 596-1117
Mailing address
12900 CORTEZ BLVD, SUITE 205, BROOKSVILLE, FL 34613-6828
(352) 596-1117
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA 9105274
FL
Other
Enumeration date
05/25/2010
Last updated
10/24/2011
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