Individual
MR. KYLE SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2014 S ORANGE AVE STE 101, ORLANDO, FL 32806-3069
(407) 447-2273
Mailing address
5400 CORACI BLVD APT 1304, PORT ORANGE, FL 32128-7568
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA9113695
FL
Other
Enumeration date
09/29/2020
Last updated
10/07/2020
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