Individual
DAVID J SCOTTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1955 US 1 S STE 100, ST AUGUSTINE, FL 32086-5788
(904) 825-5055
Mailing address
1955 US 1 S STE 100, ST AUGUSTINE, FL 32086-5788
(904) 825-5055
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/19/2011
Last updated
05/19/2011
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