Individual
KEVIN SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CAA
Contact information
Practice address
4211 VAN DYKE RD, LUTZ, FL 33558-8005
(813) 443-7000
Mailing address
2510 EAGLES CREST CT, HOLIDAY, FL 34691-7833
(440) 935-6154
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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