Individual
LUCILLE D SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO,ABO, NCLE
Contact information
Practice address
4301 S UNIVERSITY DR, DAVIE, FL 33328-3002
(954) 331-3616
Mailing address
4301 S UNIVERSITY DR, DAVIE, FL 33328-3002
(954) 331-3616
(954) 473-5122
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6177
FL
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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