Individual
HEATHER M SCULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MMS, PA-C
Contact information
Practice address
2044 TRINITY OAKS BLVD STE 130, TRINITY, FL 34655-4405
(727) 375-5961
(727) 376-8710
Mailing address
PO BOX 23329, NEW YORK, NY 10087-3329
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9105471
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008175300
—
FL
Enumeration date
07/08/2010
Last updated
04/14/2026
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