Individual
MS. CORITA SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
209 NE 39TH AVE STE C, GAINESVILLE, FL 32609-1724
(352) 226-4278
Mailing address
14295 NW 160TH LN, ALACHUA, FL 32615-9384
(352) 226-4278
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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