Individual
SCOTT A ENTSMINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT,DPT
Contact information
Practice address
13947 BEACH BLVD STE 109, JACKSONVILLE, FL 32224-1201
(904) 996-6922
(904) 996-6923
Mailing address
4300 S BEACH PKWY APT 1311, JACKSONVILLE, FL 32250-8175
(904) 996-6922
(907) 996-6923
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT27630
FL
Other
Enumeration date
12/20/2012
Last updated
12/20/2012
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