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Individual

DR. JACK D SCOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 SW ARCHER RD, GAINESVILLE, FL 32610-3003
(352) 265-5911
(352) 265-5606
Mailing address
PO BOX 918025, ORLANDO, FL 32891-8025
(352) 265-5911
(352) 265-5606

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01072522A
IN
207P00000X
Emergency Medicine Physician
Primary
ME69637
FL
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
01072522A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
ME0069637
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0913926
OH
05
250686600
FL
01
28263
BCBS
FL
01
P00162734
RRMCR
FL
Enumeration date
01/05/2006
Last updated
09/11/2025
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